Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.52 / $103.51 / $157.83	Facility		$62.52	$103.51	$157.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $50.46 / $56.26	Professional		$38.28	$50.46	$56.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $105.10 / $131.38	Professional		$66.48	$105.10	$131.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $58.00 / $101.50	Professional		$49.04	$58.00	$101.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $62.41 / $119.48	Facility		$34.19	$62.41	$119.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $49.27 / $151.38	Professional		$17.55	$49.27	$151.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.57 / $74.84 / $127.11	Facility		$44.57	$74.84	$127.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $72.20 / $119.48	Professional		$36.75	$72.20	$119.48
United Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Facility		$58.00	$58.00	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $34.79 / $79.06	Professional		$18.07	$34.79	$79.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Professional		$58.00	$58.00	$58.00