Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $63.30 / $128.46	Facility		$28.87	$63.30	$128.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $20.62 / $172.20	Professional		$17.67	$20.62	$172.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $48.96 / $61.20	Professional		$30.98	$48.96	$61.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $40.17 / $73.25	Professional		$26.78	$40.17	$73.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $45.66 / $127.38	Facility		$26.78	$45.66	$127.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $26.78 / $73.15	Professional		$16.07	$26.78	$73.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $54.55 / $82.16	Facility		$32.79	$54.55	$82.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $51.71 / $73.15	Professional		$32.14	$51.71	$73.15
United Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $40.17 / $40.17	Facility		$40.17	$40.17	$40.17
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $17.85 / $64.86	Professional		$16.07	$17.85	$64.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $26.78 / $26.78	Professional		$21.16	$26.78	$26.78