Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.54 / $72.54 / $126.35	Facility		$72.54	$72.54	$126.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $72.54	Professional		$56.10	$56.10	$72.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $52.82 / $52.82	Facility		$52.82	$52.82	$52.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $52.95 / $66.19	Professional		$52.95	$52.95	$66.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $56.10 / $116.06	Professional		$44.25	$56.10	$116.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $59.98 / $72.54	Facility		$52.82	$59.98	$72.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $57.43 / $70.83	Professional		$57.43	$57.43	$70.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $78.03 / $122.25	Facility		$59.30	$78.03	$122.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $65.87 / $120.74	Professional		$57.70	$65.87	$120.74
United Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Facility		$56.10	$56.10	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $57.78	Professional		$56.10	$56.10	$57.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $57.43 / $57.43 / $57.43	Facility		$57.43	$57.43	$57.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $57.43 / $57.43	Professional		$57.43	$57.43	$57.43