Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $15.21 / $109.21	Facility		$8.05	$15.21	$109.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.24 / $35.43	Professional		$3.64	$4.24	$35.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $9.78 / $12.24	Professional		$6.20	$9.78	$12.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $9.64 / $43.17	Professional		$5.51	$9.64	$43.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $9.25 / $26.67	Facility		$5.51	$9.25	$26.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.68 / $15.21	Professional		$3.31	$5.68	$15.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $11.21 / $17.27	Facility		$6.75	$11.21	$17.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $11.21 / $15.51	Professional		$6.62	$11.21	$15.51
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.39 / $12.67	Professional		$3.31	$3.39	$12.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.51 / $5.51	Professional		$4.34	$5.51	$5.51