Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $48.97 / $69.04	Professional		$43.43	$48.97	$69.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $68.44 / $91.27	Professional		$54.75	$68.44	$91.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $50.96 / $75.83	Professional		$41.36	$50.96	$75.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $63.67 / $246.06	Facility		$43.43	$63.67	$246.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $81.92 / $216.92	Professional		$58.89	$81.92	$216.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.67 / $87.69 / $116.77	Facility		$63.67	$87.69	$116.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $88.75 / $136.53	Professional		$63.67	$88.75	$136.53
United Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $68.90 / $124.32	Professional		$55.05	$68.90	$124.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $70.00 / $70.00	Professional		$59.50	$70.00	$70.00