Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.36 / $46.85 / $67.59	Facility		$21.36	$46.85	$67.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $15.26 / $53.56	Professional		$13.08	$15.26	$53.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $35.90 / $44.88	Professional		$22.72	$35.90	$44.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $34.69 / $78.94	Professional		$19.82	$34.69	$78.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $26.66 / $76.39	Facility		$19.82	$26.66	$76.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $19.82 / $45.82	Professional		$11.89	$19.82	$45.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $36.33 / $57.27	Facility		$19.48	$36.33	$57.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $36.00 / $51.73	Professional		$23.78	$36.00	$51.73
United Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $19.82 / $45.59	Facility		$19.82	$19.82	$45.59
United Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $13.33 / $44.43	Professional		$11.89	$13.33	$44.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $19.82 / $19.82	Professional		$15.66	$19.82	$19.82