Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $38.13 / $68.51	Facility		$17.39	$38.13	$68.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $12.42 / $103.72	Professional		$10.65	$12.42	$103.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $29.38 / $36.72	Professional		$18.59	$29.38	$36.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $28.23 / $96.21	Professional		$16.13	$28.23	$96.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $24.86 / $77.61	Facility		$16.13	$24.86	$77.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $16.61 / $43.23	Professional		$9.68	$16.61	$43.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $32.85 / $50.57	Facility		$19.75	$32.85	$50.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $32.85 / $46.18	Professional		$19.38	$32.85	$46.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $10.75 / $39.07	Professional		$9.68	$10.75	$39.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $16.13 / $16.13	Professional		$12.74	$16.13	$16.13