Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $32.36 / $50.90	Facility		$12.91	$32.36	$50.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $9.22 / $53.00	Professional		$7.91	$9.22	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $20.97 / $44.86	Professional		$11.98	$20.97	$44.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $20.10 / $58.23	Facility		$11.98	$20.10	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $12.34 / $33.06	Professional		$7.19	$12.34	$33.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $24.41 / $37.56	Facility		$14.67	$24.41	$37.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $24.41 / $33.35	Professional		$14.39	$24.41	$33.35
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.05 / $29.02	Professional		$7.19	$10.05	$29.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $11.98 / $11.98	Professional		$9.46	$11.98	$11.98