Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $123.03 / $177.83	Facility		$48.98	$123.03	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $91.20	Professional		$41.69	$53.70	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $154.88	Professional		$77.62	$123.03	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $173.78	Professional		$64.57	$112.20	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $77.62 / $147.91	Facility		$39.81	$77.62	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $44.67 / $141.25	Professional		$24.55	$44.67	$141.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $77.62 / $83.18	Professional		$36.31	$77.62	$83.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $141.25	Facility		$64.57	$64.57	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $117.49	Professional		$24.55	$38.90	$117.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $64.57	Professional		$51.29	$64.57	$64.57