Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $58.88	Professional		$46.77	$46.77	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $263.03	Professional		$87.10	$91.20	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.95	Facility		$19.50	$19.50	$19.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $23.99	Professional		$19.05	$23.99	$23.99