Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $22.32 / $64.59	Facility		$10.18	$22.32	$64.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $7.27 / $16.54	Professional		$6.23	$7.27	$16.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $16.97 / $21.22	Professional		$10.74	$16.97	$21.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $16.52 / $134.44	Professional		$9.44	$16.52	$134.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $15.82 / $46.07	Facility		$9.44	$15.82	$46.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $9.72 / $26.05	Professional		$5.66	$9.72	$26.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $19.23 / $29.59	Facility		$11.57	$19.23	$29.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $19.23 / $27.05	Professional		$11.34	$19.23	$27.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $5.66 / $21.71	Professional		$5.66	$5.66	$21.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $9.44 / $9.44	Professional		$7.46	$9.44	$9.44