Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.46 / $10.64 / $1,403.48	Facility		$7.46	$10.64	$1,403.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.93 / $7.46	Professional		$3.37	$3.93	$7.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $8.93 / $50.57	Professional		$5.09	$8.93	$50.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $8.01 / $24.25	Facility		$5.09	$8.01	$24.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $5.09 / $13.31	Professional		$3.06	$5.09	$13.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $10.38 / $15.99	Facility		$6.13	$10.38	$15.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $9.32 / $13.31	Professional		$5.99	$9.32	$13.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $4.26 / $12.34	Professional		$3.06	$4.26	$12.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $5.09 / $5.09	Professional		$4.03	$5.09	$5.09