Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $36.60 / $49.06	Facility		$17.23	$36.60	$49.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $12.31 / $43.21	Professional		$10.55	$12.31	$43.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $28.72 / $35.90	Professional		$18.17	$28.72	$35.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $27.98 / $59.21	Professional		$15.99	$27.98	$59.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $21.13 / $61.13	Facility		$15.99	$21.13	$61.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $15.99 / $40.44	Professional		$9.59	$15.99	$40.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $32.04 / $43.23	Facility		$19.20	$32.04	$43.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $31.97 / $41.73	Professional		$18.16	$31.97	$41.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $9.67 / $32.86	Professional		$9.59	$9.67	$32.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $15.99 / $15.99	Professional		$12.63	$15.99	$15.99