Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $66.95 / $71.22	Facility		$66.95	$66.95	$71.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $40.59 / $66.95	Professional		$32.22	$40.59	$66.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $38.60 / $40.97	Professional		$32.78	$38.60	$40.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $32.22 / $106.97	Professional		$30.77	$32.22	$106.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $38.60 / $67.01	Facility		$20.00	$38.60	$67.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $31.55 / $47.94	Professional		$26.82	$31.55	$47.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $36.08 / $45.10	Facility		$20.00	$36.08	$45.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $34.61 / $59.26	Professional		$24.19	$34.61	$59.26
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.86	Professional		$32.22	$32.22	$32.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $31.55 / $31.55	Facility		$31.55	$31.55	$31.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $31.55 / $31.55	Professional		$31.55	$31.55	$31.55