Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $51.98 / $93.43	Facility		$23.70	$51.98	$93.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $16.93 / $59.42	Professional		$14.51	$16.93	$59.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $39.82 / $49.78	Professional		$25.19	$39.82	$49.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $38.47 / $125.82	Professional		$21.99	$38.47	$125.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $36.85 / $105.50	Facility		$21.99	$36.85	$105.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $22.65 / $60.69	Professional		$13.19	$22.65	$60.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $44.80 / $68.94	Facility		$26.93	$44.80	$68.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $44.80 / $62.98	Professional		$26.41	$44.80	$62.98
United Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $21.99	Facility		$21.99	$21.99	$21.99
United Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $18.43 / $53.26	Professional		$13.19	$18.43	$53.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $21.99 / $21.99	Professional		$17.37	$21.99	$21.99