Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $33.22 / $59.67	Facility		$15.15	$33.22	$59.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $10.82 / $37.97	Professional		$9.27	$10.82	$37.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $25.46 / $31.82	Professional		$16.11	$25.46	$31.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $24.59 / $80.18	Professional		$14.05	$24.59	$80.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $23.54 / $67.92	Facility		$14.05	$23.54	$67.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $14.47 / $37.69	Professional		$8.43	$14.47	$37.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $28.62 / $44.05	Facility		$17.20	$28.62	$44.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $28.62 / $40.22	Professional		$16.87	$28.62	$40.22
United Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $32.32	Facility		$14.05	$14.05	$32.32
United Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $11.77 / $35.53	Professional		$8.43	$11.77	$35.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $14.05 / $14.05	Professional		$11.10	$14.05	$14.05