Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $26.03 / $63.73	Facility		$6.72	$26.03	$63.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.54 / $20.00	Professional		$3.04	$3.54	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.49 / $10.61	Professional		$5.37	$8.49	$10.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $8.05 / $12.12	Professional		$4.59	$8.05	$12.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $7.70 / $21.79	Facility		$4.59	$7.70	$21.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $4.74 / $12.19	Professional		$2.76	$4.74	$12.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $9.36 / $14.42	Facility		$5.63	$9.36	$14.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $9.36 / $13.17	Professional		$5.52	$9.36	$13.17
United Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $4.59 / $4.59	Facility		$4.59	$4.59	$4.59
United Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $3.85 / $11.14	Professional		$2.76	$3.85	$11.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.59 / $4.59	Professional		$3.63	$4.59	$4.59