Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $34.17 / $39.90	Facility		$15.58	$34.17	$39.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $11.13 / $39.07	Professional		$9.53	$11.13	$39.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $20.97 / $37.89	Professional		$14.46	$20.97	$37.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $17.37 / $41.23	Facility		$13.06	$17.37	$41.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $13.11 / $33.26	Professional		$7.12	$13.11	$33.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $23.11 / $31.68	Facility		$10.40	$23.11	$31.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $22.00 / $31.68	Professional		$14.46	$22.00	$31.68
United Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $21.69 / $21.69	Facility		$21.69	$21.69	$21.69
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $8.68 / $26.75	Professional		$7.12	$8.68	$26.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $14.46 / $14.46	Professional		$11.42	$14.46	$14.46