Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $120.23 / $194.98	Facility		$97.72	$120.23	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $120.23	Professional		$97.72	$102.33	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $20.42	Professional		$16.60	$20.42	$20.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $33.11 / $165.96	Facility		$17.38	$33.11	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $102.33 / $104.71	Professional		$17.78	$102.33	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $109.65	Professional		$33.11	$33.11	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $22.91	Facility		$0.10	$0.10	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $104.71	Professional		$102.33	$102.33	$104.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33