Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $60.36 / $93.12	Facility		$30.27	$60.36	$93.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $19.66 / $69.42	Professional		$16.85	$19.66	$69.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $46.35 / $57.94	Professional		$29.32	$46.35	$57.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $33.19 / $107.31	Professional		$25.53	$33.19	$107.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $33.19 / $69.83	Facility		$21.13	$33.19	$69.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $25.53 / $64.00	Professional		$10.19	$25.53	$64.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $41.08 / $61.63	Facility		$31.27	$41.08	$61.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.64 / $46.54 / $66.63	Professional		$30.64	$46.54	$66.63
United Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $25.53 / $25.53	Facility		$25.53	$25.53	$25.53
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $15.32 / $58.72	Professional		$10.50	$15.32	$58.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $25.53 / $25.53	Professional		$20.17	$25.53	$25.53