Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.80 / $75.50 / $87.40	Facility		$59.80	$75.50	$87.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $39.54 / $75.50	Professional		$33.64	$39.54	$75.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $38.50 / $40.88	Professional		$32.70	$38.50	$40.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $62.95 / $221.96	Professional		$39.54	$62.95	$221.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $49.74 / $75.50	Facility		$34.49	$49.74	$75.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $39.61 / $88.05	Professional		$38.50	$39.61	$88.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $43.11 / $66.93	Facility		$10.80	$43.11	$66.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $60.59 / $99.25	Professional		$33.09	$60.59	$99.25
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $40.72	Professional		$39.54	$39.54	$40.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $39.61 / $39.61	Facility		$39.61	$39.61	$39.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $39.61 / $39.61	Professional		$39.61	$39.61	$39.61