Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.90 / $47.86	Facility		$12.02	$30.90	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $25.70	Professional		$10.00	$14.13	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $39.81	Professional		$19.95	$31.62	$39.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $29.51 / $181.97	Professional		$17.78	$29.51	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.38 / $48.98	Facility		$16.22	$21.38	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.50 / $41.69	Professional		$9.77	$19.50	$41.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.95 / $20.89	Professional		$19.50	$19.95	$20.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $36.31	Facility		$16.22	$16.22	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.48 / $38.02	Professional		$9.77	$11.48	$38.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $16.22	Professional		$12.88	$16.22	$16.22