Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $55.15 / $58.60	Professional		$55.15	$55.15	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $82.79 / $82.79	Professional		$58.60	$82.79	$82.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $90.92 / $150.00	Professional		$49.87	$90.92	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $68.94 / $93.76	Facility		$55.15	$68.94	$93.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $137.88	Professional		$68.94	$68.94	$137.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.79 / $82.79 / $82.79	Facility		$82.79	$82.79	$82.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $82.79 / $82.79	Professional		$82.79	$82.79	$82.79
United Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $68.94 / $94.45	Professional		$68.94	$68.94	$94.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $68.94 / $68.94 / $68.94	Facility		$68.94	$68.94	$68.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $68.94 / $68.94	Professional		$54.46	$68.94	$68.94