Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $70.73 / $91.49	Facility		$45.00	$70.73	$91.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $46.21 / $84.49	Professional		$31.37	$46.21	$84.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.71 / $55.52 / $67.55	Professional	25	$42.71	$55.52	$67.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $113.77 / $157.85	Professional		$71.81	$113.77	$157.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $65.11 / $125.08	Professional		$42.67	$65.11	$125.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $71.81 / $224.03	Facility		$43.74	$71.81	$224.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $73.02 / $316.30	Professional		$43.42	$73.02	$316.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.99 / $81.50 / $124.87	Facility		$60.99	$81.50	$124.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.99 / $82.87 / $133.31	Professional		$60.99	$82.87	$133.31
United Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $48.00 / $91.65	Professional		$38.29	$48.00	$91.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $70.00 / $88.50	Professional		$59.50	$70.00	$88.50