Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $48.03 / $69.20	Professional		$43.78	$48.03	$69.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $67.03 / $88.87	Professional		$53.63	$67.03	$88.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $45.05 / $81.54	Professional		$38.29	$45.05	$81.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $62.37 / $240.95	Facility		$43.78	$62.37	$240.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $81.87 / $216.92	Professional		$58.86	$81.87	$216.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.37 / $87.64 / $114.43	Facility		$62.37	$87.64	$114.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $88.79 / $136.44	Professional		$62.37	$88.79	$136.44
United Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $71.97 / $124.25	Professional		$50.88	$71.97	$124.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $68.59 / $68.59	Professional		$58.30	$68.59	$68.59