Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $77.62 / $77.62	Professional		$19.05	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $42.66	Professional		$33.88	$33.88	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $151.36	Professional		$67.61	$72.44	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $35.48 / $85.11	Facility		$6.03	$35.48	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.88 / $53.70	Professional		$12.59	$21.88	$53.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $35.48	Professional		$6.03	$6.03	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $28.84	Facility		$23.99	$23.99	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.18 / $47.86	Professional		$12.59	$13.18	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $17.38	Professional		$13.80	$17.38	$17.38