Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $51.85	Facility		$49.00	$49.00	$51.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $37.82 / $63.29	Professional		$28.31	$37.82	$63.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $39.35 / $77.17	Facility		$39.35	$39.35	$77.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $81.75 / $102.19	Professional		$39.35	$81.75	$102.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $76.20 / $82.57	Professional		$66.64	$76.20	$82.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $90.14 / $328.21	Facility		$30.42	$90.14	$328.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $36.32 / $95.67	Professional		$31.42	$36.32	$95.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.95 / $77.17 / $95.67	Facility		$76.95	$77.17	$95.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $90.14 / $147.46	Professional		$63.22	$90.14	$147.46
United Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $35.00 / $92.02	Professional		$31.13	$35.00	$92.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $66.64 / $66.64	Professional		$52.65	$66.64	$66.64