Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $17.64 / $45.70	Facility		$8.05	$17.64	$45.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $5.75 / $20.18	Professional		$4.93	$5.75	$20.18
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 $7.47 / $13.07 / $289.67	Professional		$7.47	$13.07	$289.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $11.21 / $32.74	Facility		$7.47	$11.21	$32.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $7.47 / $18.89	Professional		$4.48	$7.47	$18.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $13.69 / $23.42	Facility		$8.18	$13.69	$23.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $13.69 / $19.50	Professional		$8.96	$13.69	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $5.45 / $17.18	Professional		$4.48	$5.45	$17.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $7.47 / $7.47	Professional		$5.90	$7.47	$7.47