Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $44.69 / $53.82	Facility		$44.69	$44.69	$53.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $40.40 / $61.71	Professional		$28.31	$40.40	$61.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $46.18 / $92.54	Facility		$46.18	$46.18	$92.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $80.25 / $103.00	Professional		$46.18	$80.25	$103.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $6.92 / $7.18	Professional		$5.74	$6.92	$7.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $115.85 / $331.44	Facility		$10.77	$115.85	$331.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $44.53 / $101.07	Professional		$35.90	$44.53	$101.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $9.26 / $21.89	Facility		$9.26	$9.26	$21.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $11.07 / $21.89	Professional		$9.19	$11.07	$21.89
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $41.90 / $108.98	Professional		$36.90	$41.90	$108.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $75.72 / $75.72	Professional		$59.82	$75.72	$75.72