Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $13.79 / $25.70	Facility		$11.30	$13.79	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.95 / $20.88	Professional		$5.09	$5.95	$20.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $14.36 / $17.95	Professional		$9.09	$14.36	$17.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $13.53 / $88.81	Professional		$7.73	$13.53	$88.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.73 / $10.89 / $31.02	Facility		$7.73	$10.89	$31.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $7.96 / $20.00	Professional		$4.63	$7.96	$20.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $15.76 / $22.18	Facility		$9.48	$15.76	$22.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $15.76 / $21.16	Professional		$9.27	$15.76	$21.16
United Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.75 / $17.78	Professional		$4.63	$4.75	$17.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $7.73 / $7.73	Professional		$6.11	$7.73	$7.73