Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $48.84 / $68.31	Facility		$25.10	$48.84	$68.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $45.70 / $57.12	Professional		$30.12	$45.70	$57.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $32.63 / $48.95	Professional		$27.61	$32.63	$48.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $28.46 / $55.47	Facility		$19.32	$28.46	$55.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $17.73 / $109.56	Professional		$15.06	$17.73	$109.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $53.02 / $78.61	Facility		$30.12	$53.02	$78.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $53.02 / $64.01	Professional		$30.12	$53.02	$64.01
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $15.06 / $50.20	Professional		$10.54	$15.06	$50.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $25.10 / $25.10	Professional		$19.82	$25.10	$25.10