Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $43.47 / $125.83	Facility		$19.82	$43.47	$125.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $14.16 / $28.24	Professional		$12.14	$14.16	$28.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $33.29 / $41.62	Professional		$21.06	$33.29	$41.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $32.18 / $76.48	Professional		$18.39	$32.18	$76.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $30.84 / $83.30	Facility		$18.39	$30.84	$83.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $18.94 / $49.87	Professional		$11.03	$18.94	$49.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $37.47 / $57.65	Facility		$22.53	$37.47	$57.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $37.47 / $52.69	Professional		$22.09	$37.47	$52.69
United Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $15.42 / $42.30	Professional		$11.03	$15.42	$42.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $18.39 / $18.39	Professional		$14.53	$18.39	$18.39