Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $85.11	Professional		$23.99	$37.15	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $64.57 / $104.71	Professional		$41.69	$64.57	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $1,412.54	Professional		$40.74	$48.98	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $1,905.46	Professional		$33.88	$66.07	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $104.71 / $288.40	Professional		$47.86	$104.71	$288.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $288.40	Professional		$66.07	$75.86	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $245.47	Professional		$32.36	$50.12	$245.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $77.62	Professional		$66.07	$66.07	$77.62