Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $51.29 / $79.43	Facility		$19.95	$51.29	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $38.90	Professional		$16.98	$22.91	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $66.07	Professional		$32.36	$52.48	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $52.48	Professional		$26.92	$43.65	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $32.36 / $69.18	Facility		$23.99	$32.36	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.92 / $58.88	Professional		$14.79	$26.92	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $34.67	Professional		$21.88	$32.36	$34.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $60.26	Facility		$26.92	$26.92	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.22 / $58.88	Professional		$14.79	$16.22	$58.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $26.92	Professional		$21.38	$26.92	$26.92