Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $24.13 / $87.05	Facility		$14.47	$24.13	$87.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $7.62 / $63.59	Professional		$6.53	$7.62	$63.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $18.28 / $22.85	Professional		$11.56	$18.28	$22.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $17.30 / $69.06	Professional		$9.89	$17.30	$69.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $15.17 / $47.31	Facility		$9.89	$15.17	$47.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $10.19 / $27.30	Professional		$5.93	$10.19	$27.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $20.14 / $31.01	Facility		$12.11	$20.14	$31.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $20.14 / $28.31	Professional		$11.87	$20.14	$28.31
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $5.93 / $25.01	Professional		$5.93	$5.93	$25.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $9.89 / $9.89	Professional		$7.81	$9.89	$9.89