Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.99 / $54.52 / $74.22	Facility		$28.99	$54.52	$74.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $20.71 / $72.69	Professional		$17.75	$20.71	$72.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $48.96 / $61.20	Professional		$30.98	$48.96	$61.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $42.04 / $70.31	Professional		$26.89	$42.04	$70.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $34.51 / $82.46	Facility		$26.54	$34.51	$82.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $26.89 / $61.85	Professional		$14.41	$26.89	$61.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $45.12 / $61.00	Facility		$21.06	$45.12	$61.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $41.42 / $61.00	Professional		$26.89	$41.42	$61.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $16.13 / $49.75	Professional		$14.41	$16.13	$49.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $26.89 / $26.89	Professional		$21.24	$26.89	$26.89