Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.31 / $99.82 / $218.05	Facility		$55.31	$99.82	$218.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.51 / $44.64 / $67.52	Professional		$39.51	$44.64	$67.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $93.35 / $116.69	Professional		$61.63	$93.35	$116.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $73.25 / $92.87	Professional		$51.31	$73.25	$92.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $78.88 / $155.38	Facility		$51.31	$78.88	$155.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $52.85 / $271.70	Professional		$30.79	$52.85	$271.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.57 / $104.55 / $155.38	Facility		$61.57	$104.55	$155.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $104.55 / $150.52	Professional		$61.63	$104.55	$150.52
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $124.30	Professional		$30.79	$30.79	$124.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31