Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.59 / $51.59 / $108.93	Facility		$51.59	$51.59	$108.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $51.59 / $63.04	Professional		$49.28	$51.59	$63.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.13 / $43.13 / $53.91	Professional		$43.13	$43.13	$53.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $49.28 / $89.20	Professional		$13.56	$49.28	$89.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $46.38 / $56.29	Facility		$10.00	$46.38	$56.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $46.91 / $56.29	Professional		$16.79	$46.91	$56.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $50.25 / $56.29	Facility		$10.00	$50.25	$56.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $37.04 / $56.29	Professional		$10.00	$37.04	$56.29
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $50.27	Professional		$49.28	$49.28	$50.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.91 / $46.91 / $46.91	Facility		$46.91	$46.91	$46.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $46.91 / $46.91	Professional		$46.91	$46.91	$46.91