Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.25 / $48.25 / $121.88	Facility		$48.25	$48.25	$121.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $48.25 / $79.98	Professional		$44.11	$48.25	$79.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $40.09 / $50.11	Professional		$40.09	$40.09	$50.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $47.56 / $55.77	Professional		$14.74	$47.56	$55.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $47.19 / $51.47	Facility		$11.64	$47.19	$51.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $45.95 / $54.53	Professional		$15.23	$45.95	$54.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $54.53 / $85.97	Facility		$11.64	$54.53	$85.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $38.08 / $54.53	Professional		$12.16	$38.08	$54.53
United Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $46.87	Professional		$45.95	$45.95	$46.87
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $38.61 / $38.61	Facility		$38.61	$38.61	$38.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $38.61 / $38.61	Professional		$38.61	$38.61	$38.61