Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.94 / $81.94 / $167.79	Facility		$81.94	$81.94	$167.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $81.94 / $5,400.00	Professional		$75.91	$81.94	$5,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $74.78 / $93.47	Professional		$74.78	$74.78	$93.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $75.91 / $128.01	Professional		$60.07	$75.91	$128.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $75.08 / $92.15	Facility		$68.84	$75.08	$92.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $73.16 / $92.15	Professional		$56.35	$73.16	$92.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.08 / $106.34 / $141.78	Facility		$75.08	$106.34	$141.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $80.81 / $106.33	Professional		$45.01	$80.81	$106.33
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $77.43	Professional		$75.91	$75.91	$77.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $73.16 / $73.16	Facility		$73.16	$73.16	$73.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $73.16 / $73.16	Professional		$73.16	$73.16	$73.16