Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $40.82 / $398.75	Facility		$18.82	$40.82	$398.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $16.94 / $77.00	Professional		$9.91	$16.94	$77.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $22.52 / $41.09	Professional		$12.87	$22.52	$41.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $19.80 / $79.05	Facility		$12.87	$19.80	$79.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $15.44 / $31.34	Professional		$12.87	$15.44	$31.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.77 / $26.22 / $36.09	Facility		$15.77	$26.22	$36.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $26.22 / $35.47	Professional		$15.46	$26.22	$35.47
United Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $28.54	Professional		$12.87	$12.87	$28.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $12.87 / $12.87	Professional		$10.17	$12.87	$12.87