Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.33 / $45.33 / $54.32	Facility		$45.33	$45.33	$54.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $42.30 / $62.28	Professional		$28.10	$42.30	$62.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.02 / $48.02 / $93.25	Facility		$48.02	$48.02	$93.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $82.13 / $102.66	Professional		$48.02	$82.13	$102.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $7.16 / $7.76	Professional		$6.21	$7.16	$7.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $111.26 / $344.64	Facility		$22.02	$111.26	$344.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $44.19 / $102.01	Professional		$36.02	$44.19	$102.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $9.32 / $22.02	Facility		$9.32	$9.32	$22.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $11.14 / $22.02	Professional		$9.24	$11.14	$22.02
United Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $41.39 / $102.01	Professional		$36.02	$41.39	$102.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $76.29 / $76.29	Professional		$60.27	$76.29	$76.29