Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $82.67 / $358.90	Facility		$29.98	$82.67	$358.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $20.07 / $38.13	Professional		$17.21	$20.07	$38.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $47.65 / $59.57	Professional		$30.15	$47.65	$59.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $45.62 / $149.26	Professional		$26.07	$45.62	$149.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $40.44 / $125.01	Facility		$26.07	$40.44	$125.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $26.85 / $70.93	Professional		$15.64	$26.85	$70.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $53.12 / $81.73	Facility		$31.93	$53.12	$81.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $53.12 / $74.68	Professional		$31.31	$53.12	$74.68
United Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $17.38 / $65.93	Professional		$15.64	$17.38	$65.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $26.07 / $26.07	Professional		$20.60	$26.07	$26.07