Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $46.77 / $131.83	Facility		$15.14	$46.77	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.38 / $95.50	Professional		$10.96	$21.38	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $35.48	Professional		$17.78	$28.18	$35.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $35.48 / $151.36	Professional		$14.45	$35.48	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.39 / $100.00	Facility		$14.45	$22.39	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.22 / $38.02	Professional		$8.71	$16.22	$38.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $18.62 / $165.96	Professional		$17.38	$18.62	$165.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $32.36	Facility		$14.45	$14.45	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.30 / $35.48	Professional		$8.71	$12.30	$35.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $14.45	Professional		$11.48	$14.45	$14.45