Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.68 / $224.59 / $392.69	Facility		$77.68	$224.59	$392.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $118.21 / $138.40	Professional		$55.47	$118.21	$138.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $82.00 / $121.98	Professional		$65.59	$82.00	$121.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $73.13 / $109.26	Professional		$52.21	$73.13	$109.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $109.17 / $483.56	Facility		$41.64	$109.17	$483.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $74.48 / $202.28	Professional		$28.26	$74.48	$202.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $98.02 / $191.65	Facility		$46.85	$98.02	$191.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $98.02 / $170.23	Professional		$40.32	$98.02	$170.23
United Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $74.48 / $100.31	Professional		$31.96	$74.48	$100.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $198.70 / $198.70	Professional		$156.97	$198.70	$198.70