Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.39 / $48.39 / $92.79	Facility		$48.39	$48.39	$92.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $48.39 / $52.89	Professional		$41.98	$48.39	$52.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.79 / $42.79 / $42.79	Facility		$42.79	$42.79	$42.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $42.04 / $52.55	Professional		$42.04	$42.04	$52.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $74.33 / $99.17	Professional		$41.98	$74.33	$99.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $48.39 / $63.51	Facility		$41.96	$48.39	$63.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $41.96 / $61.91	Professional		$41.96	$41.96	$61.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.49 / $61.92 / $97.01	Facility		$49.49	$61.92	$97.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $50.08 / $61.91	Professional		$47.05	$50.08	$61.91
United Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $41.98 / $42.82	Professional		$41.98	$41.98	$42.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $41.96 / $41.96	Facility		$41.96	$41.96	$41.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $41.96 / $41.96	Professional		$41.96	$41.96	$41.96