Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $91.76 / $342.31	Professional		$30.29	$91.76	$342.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $77.15 / $82.00	Professional		$65.59	$77.15	$82.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $40.31 / $220.37	Professional		$27.07	$40.31	$220.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $77.06 / $105.88	Professional		$47.48	$77.06	$105.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $87.67 / $105.88	Professional		$63.06	$87.67	$105.88
United Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $58.87 / $86.09	Professional		$36.40	$58.87	$86.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60