Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $61.11 / $71.89	Facility		$53.92	$61.11	$71.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $66.86 / $85.00	Professional		$53.92	$66.86	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $140.54 / $175.68	Professional		$68.06	$140.54	$175.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $118.25 / $285.61	Professional		$72.72	$118.25	$285.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.81 / $174.21 / $354.23	Facility		$69.81	$174.21	$354.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $124.14 / $176.59	Professional		$79.84	$124.14	$176.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.54 / $143.13 / $181.46	Facility		$113.54	$143.13	$181.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $150.05 / $193.93	Professional		$107.81	$150.05	$193.93
United Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $103.40 / $176.59	Professional		$72.25	$103.40	$176.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $110.80 / $110.80	Professional		$87.53	$110.80	$110.80