Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.25 / $152.07 / $630.00	Facility		$71.25	$152.07	$630.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $13.13 / $264.00	Professional		$9.02	$13.13	$264.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $33.60 / $33.60	Facility		$33.60	$33.60	$33.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $29.31 / $36.64	Professional		$29.31	$29.31	$36.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $30.00 / $213.69	Professional		$19.17	$30.00	$213.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $55.03 / $107.26	Facility		$21.00	$55.03	$107.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $19.89 / $28.08	Professional		$13.94	$19.89	$28.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $22.84 / $26.41	Facility		$19.44	$22.84	$26.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $23.27 / $28.08	Professional		$18.03	$23.27	$28.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $15.09 / $25.27	Professional		$10.22	$15.09	$25.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $5.88 / $5.88	Professional		$5.88	$5.88	$5.88