Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $45.82 / $45.82	Facility		$35.97	$45.82	$45.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $32.97 / $44.61	Professional		$22.25	$32.97	$44.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $64.04	Facility		$30.91	$30.91	$64.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $76.50 / $95.63	Professional		$30.91	$76.50	$95.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $68.09 / $82.57	Professional		$49.46	$68.09	$82.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.58 / $74.81 / $263.25	Facility		$36.58	$74.81	$263.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $29.35 / $79.55	Professional		$24.67	$29.35	$79.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.86 / $64.04 / $76.76	Facility		$63.86	$64.04	$76.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $74.81 / $122.40	Professional		$52.00	$74.81	$122.40
United Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $29.05 / $68.51	Professional		$24.45	$29.05	$68.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $57.06 / $57.06 / $57.06	Facility		$57.06	$57.06	$57.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $57.06 / $57.06	Professional		$45.08	$57.06	$57.06