Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.94 / $93.45 / $196.20	Facility		$38.94	$93.45	$196.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $26.07 / $49.53	Professional		$22.35	$26.07	$49.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $62.02 / $77.52	Professional		$39.24	$62.02	$77.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $59.26 / $126.30	Professional		$33.86	$59.26	$126.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $52.25 / $106.15	Facility		$33.86	$52.25	$106.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $34.88 / $92.00	Professional		$20.32	$34.88	$92.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $68.98 / $106.15	Facility		$41.47	$68.98	$106.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $68.98 / $97.02	Professional		$40.67	$68.98	$97.02
United Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $22.57 / $82.01	Professional		$20.32	$22.57	$82.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $33.86 / $33.86	Professional		$26.75	$33.86	$33.86