Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $61.66 / $83.18	Facility		$52.48	$61.66	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $91.20	Professional		$51.29	$69.18	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $173.78	Professional		$66.07	$138.04	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $281.84 / $363.08	Professional		$70.79	$281.84	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $169.82 / $346.74	Facility		$67.61	$169.82	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $158.49	Professional		$77.62	$125.89	$158.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $154.88	Professional		$112.20	$151.36	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $190.55	Professional		$77.62	$117.49	$190.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $109.65	Professional		$85.11	$109.65	$109.65