Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $77.26 / $231.05	Facility		$77.26	$77.26	$231.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $77.26 / $157.53	Professional		$65.67	$77.26	$157.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $74.78 / $93.47	Professional		$74.78	$74.78	$93.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.36 / $78.00 / $150.00	Professional		$76.36	$78.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.53 / $77.26 / $150.66	Facility		$69.53	$77.26	$150.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $82.94 / $99.60	Professional		$73.40	$82.94	$99.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $90.28 / $92.64	Facility		$56.01	$90.28	$92.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $89.58 / $113.18	Professional		$64.05	$89.58	$113.18
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $82.94 / $86.61	Professional		$73.40	$82.94	$86.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $64.51 / $64.51	Facility		$64.51	$64.51	$64.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $64.51 / $64.51	Professional		$64.51	$64.51	$64.51