Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.88 / $117.49	Facility		$12.88	$33.88	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $79.43	Professional		$8.91	$12.02	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $30.90	Professional		$15.85	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $51.29	Professional		$12.88	$19.50	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.60 / $34.67	Facility		$12.88	$16.60	$34.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $14.45 / $32.36	Professional		$6.17	$14.45	$32.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.85 / $16.60	Professional		$15.49	$15.85	$16.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $28.18	Facility		$12.88	$12.88	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.76 / $29.51	Professional		$5.89	$7.76	$29.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $12.88	Professional		$10.23	$12.88	$12.88