Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $17.01 / $28.07	Facility		$7.76	$17.01	$28.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $5.54 / $19.45	Professional		$4.75	$5.54	$19.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $13.06 / $16.32	Professional		$8.26	$13.06	$16.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $12.60 / $43.17	Professional		$7.20	$12.60	$43.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $10.11 / $31.50	Facility		$7.20	$10.11	$31.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $7.35 / $18.45	Professional		$4.32	$7.35	$18.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $13.48 / $22.40	Facility		$8.09	$13.48	$22.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $13.48 / $18.92	Professional		$8.64	$13.48	$18.92
United Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $5.39 / $16.55	Professional		$4.32	$5.39	$16.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $7.20 / $7.20	Professional		$5.69	$7.20	$7.20