Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $22.69 / $28.42	Facility		$22.69	$22.69	$28.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $18.32 / $29.18	Professional		$15.13	$18.32	$29.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $54.94 / $54.94	Facility		$54.94	$54.94	$54.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $42.66 / $58.57	Professional		$34.13	$42.66	$58.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $70.88 / $75.81	Professional		$68.92	$70.88	$75.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $62.00 / $159.28	Facility		$18.32	$62.00	$159.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $22.97 / $69.11	Professional		$17.64	$22.97	$69.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $43.67 / $69.11	Facility		$36.65	$43.67	$69.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $55.28 / $75.29	Professional		$36.47	$55.28	$75.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $19.50 / $46.47	Professional		$17.64	$19.50	$46.47
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $216.88 / $216.88 / $216.88	Facility		$216.88	$216.88	$216.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.34 / $216.88 / $216.88	Professional		$171.34	$216.88	$216.88