Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $27.46 / $361.37	Facility		$3.97	$27.46	$361.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $10.87 / $86.84	Professional		$9.32	$10.87	$86.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $24.71 / $82.09	Professional		$14.12	$24.71	$82.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $23.69 / $67.92	Facility		$14.12	$23.69	$67.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $14.12 / $38.79	Professional		$8.47	$14.12	$38.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $28.78 / $44.27	Facility		$16.96	$28.78	$44.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $28.24 / $38.79	Professional		$3.00	$28.24	$38.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $11.84 / $34.20	Professional		$8.47	$11.84	$34.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $14.12 / $14.12	Professional		$11.15	$14.12	$14.12