Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.06 / $79.36 / $275.36	Facility		$31.06	$79.36	$275.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $16.35 / $101.76	Professional		$14.01	$16.35	$101.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $38.52 / $48.14	Professional		$24.37	$38.52	$48.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $37.15 / $106.53	Professional		$21.23	$37.15	$106.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $36.19 / $101.43	Facility		$21.23	$36.19	$101.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $21.23 / $55.41	Professional		$12.74	$21.23	$55.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $43.26 / $66.56	Facility		$26.00	$43.26	$66.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $43.26 / $58.74	Professional		$25.48	$43.26	$58.74
United Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $48.83	Facility		$21.23	$21.23	$48.83
United Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $17.80 / $48.83	Professional		$12.74	$17.80	$48.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $21.23 / $21.23	Professional		$16.77	$21.23	$21.23