Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.90 / $104.71	Facility		$25.70	$38.90	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $54.95	Professional		$19.05	$22.91	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $58.88	Professional		$41.69	$51.29	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $112.20	Professional		$18.20	$28.84	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $46.77 / $56.23	Facility		$27.54	$46.77	$56.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $83.18	Professional		$25.70	$42.66	$83.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $58.88	Professional		$47.86	$52.48	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $57.54	Professional		$22.39	$32.36	$57.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $38.02	Professional		$25.70	$32.36	$38.02