Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $36.03 / $41.66	Facility		$36.03	$36.03	$41.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $35.97 / $47.76	Professional		$17.44	$35.97	$47.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.86 / $61.86 / $61.86	Facility		$61.86	$61.86	$61.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $65.63 / $82.03	Professional		$39.84	$65.63	$82.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $53.53 / $56.82	Professional		$46.06	$53.53	$56.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.44 / $64.75 / $242.75	Facility		$38.44	$64.75	$242.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $29.85 / $76.84	Professional		$25.19	$29.85	$76.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.68 / $61.86 / $76.70	Facility		$61.68	$61.86	$76.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $72.27 / $118.23	Professional		$50.68	$72.27	$118.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $28.06 / $69.73	Professional		$25.19	$28.06	$69.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $56.24 / $56.24	Facility		$56.24	$56.24	$56.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $56.24 / $56.24	Professional		$44.43	$56.24	$56.24