Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $28.18 / $87.10	Facility		$10.96	$28.18	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $23.44	Professional		$8.91	$12.59	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $35.48	Professional		$18.20	$28.18	$35.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $36.31 / $131.83	Professional		$14.79	$36.31	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.05 / $45.71	Facility		$14.79	$19.05	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $17.78 / $38.02	Professional		$8.91	$17.78	$38.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.20 / $19.05	Professional		$17.78	$18.20	$19.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $32.36	Facility		$14.79	$14.79	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.30 / $35.48	Professional		$8.91	$12.30	$35.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $14.79	Professional		$11.75	$14.79	$14.79