Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $33.92 / $60.95	Facility		$15.47	$33.92	$60.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $11.05 / $38.79	Professional		$9.47	$11.05	$38.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $25.11 / $91.28	Professional		$14.35	$25.11	$91.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.35 / $24.06 / $69.13	Facility		$14.35	$24.06	$69.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $14.78 / $38.79	Professional		$8.61	$14.78	$38.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $29.23 / $44.99	Facility		$17.57	$29.23	$44.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $28.69 / $38.79	Professional		$17.22	$28.69	$38.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $12.03 / $33.01	Professional		$8.61	$12.03	$33.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $14.35 / $14.35	Professional		$11.34	$14.35	$14.35