Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.65 / $141.36 / $2,195.23	Facility		$64.65	$141.36	$2,195.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $36.88 / $117.81	Professional		$14.29	$36.88	$117.81
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $22.79 / $31.62 / $40.70	Professional	25	$22.79	$31.62	$40.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Facility		$34.40	$34.40	$34.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.65 / $37.51	Professional		$30.01	$30.65	$37.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $18.80 / $67.66	Professional		$12.89	$18.80	$67.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $82.83 / $183.82	Facility		$33.72	$82.83	$183.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $31.84 / $45.44	Professional		$20.23	$31.84	$45.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $33.72 / $41.50	Facility		$30.48	$33.72	$41.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $35.00 / $45.44	Professional		$28.23	$35.00	$45.44
United Facility/Professional Facility Modifier Low / Median / High Price $91.71 / $150.06 / $182.79	Facility		$91.71	$150.06	$182.79
United Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $23.20 / $36.69	Professional		$15.03	$23.20	$36.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Professional		$27.10	$27.10	$27.10