Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $14.20 / $21.55	Facility		$7.87	$14.20	$21.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $5.62 / $19.73	Professional		$4.82	$5.62	$19.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $13.71 / $17.14	Professional		$8.67	$13.71	$17.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $12.78 / $40.70	Professional		$7.30	$12.78	$40.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $11.60 / $35.21	Facility		$7.30	$11.60	$35.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $7.30 / $19.05	Professional		$4.38	$7.30	$19.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $14.87 / $22.89	Facility		$8.77	$14.87	$22.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $14.60 / $21.05	Professional		$4.43	$14.60	$21.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $4.87 / $16.79	Professional		$4.38	$4.87	$16.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $7.30 / $7.30	Professional		$5.77	$7.30	$7.30