Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $38.71 / $69.63	Facility		$17.64	$38.71	$69.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $12.61 / $44.26	Professional		$10.81	$12.61	$44.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $28.67 / $64.14	Professional		$16.38	$28.67	$64.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $27.48 / $78.81	Facility		$16.38	$27.48	$78.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $16.87 / $45.21	Professional		$9.83	$16.87	$45.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $33.36 / $51.35	Facility		$20.07	$33.36	$51.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $33.36 / $46.96	Professional		$19.68	$33.36	$46.96
United Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $10.05 / $33.67	Professional		$9.83	$10.05	$33.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $16.38 / $16.38	Professional		$12.94	$16.38	$16.38