Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $47.68 / $77.68	Facility		$26.42	$47.68	$77.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $18.87 / $66.23	Professional		$16.18	$18.87	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $44.39 / $55.49	Professional		$28.08	$44.39	$55.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $42.89 / $90.93	Professional		$24.51	$42.89	$90.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $37.92 / $116.76	Facility		$24.51	$37.92	$116.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $24.51 / $66.50	Professional		$14.71	$24.51	$66.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $49.92 / $76.84	Facility		$29.44	$49.92	$76.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $49.01 / $66.50	Professional		$17.07	$49.01	$66.50
United Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $14.71 / $56.37	Professional		$14.71	$14.71	$56.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $24.51 / $24.51	Professional		$19.36	$24.51	$24.51