Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $95.50 / $151.36	Facility		$75.86	$95.50	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $128.82	Professional		$75.86	$81.28	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $97.72	Professional		$77.62	$87.10	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $234.42	Professional		$79.43	$112.20	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $95.50 / $169.82	Facility		$1.00	$95.50	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $120.23	Professional		$77.62	$77.62	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $104.71	Professional		$97.72	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.08 / $131.83	Facility		$0.08	$0.08	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Professional		$75.86	$75.86	$79.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43