Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.52 / $41.52 / $43.96	Facility		$41.52	$41.52	$43.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.06 / $53.67	Professional		$23.99	$32.06	$53.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $65.41	Facility		$43.99	$43.99	$65.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $69.38 / $86.72	Professional		$43.99	$69.38	$86.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $59.76 / $63.85	Professional		$56.49	$59.76	$63.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $76.41 / $278.23	Facility		$37.36	$76.41	$278.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $30.77 / $81.08	Professional		$26.63	$30.77	$81.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.22 / $65.41 / $81.08	Facility		$65.22	$65.41	$81.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $76.41 / $125.00	Professional		$53.57	$76.41	$125.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $29.66 / $77.69	Professional		$26.39	$29.66	$77.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $56.49 / $56.49	Facility		$56.49	$56.49	$56.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $56.49 / $56.49	Professional		$44.63	$56.49	$56.49