Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $35.36 / $142.07	Facility		$13.04	$35.36	$142.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $8.47 / $29.73	Professional		$7.26	$8.47	$29.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $20.23 / $25.30	Professional		$12.80	$20.23	$25.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $19.25 / $29.05	Professional		$11.00	$19.25	$29.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $14.30 / $41.23	Facility		$11.00	$14.30	$41.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $11.00 / $25.30	Professional		$6.60	$11.00	$25.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $20.18 / $28.64	Facility		$10.36	$20.18	$28.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $20.00 / $28.64	Professional		$12.79	$20.00	$28.64
United Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $23.98	Professional		$6.60	$6.60	$23.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $11.00 / $11.00	Professional		$8.69	$11.00	$11.00