Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $37.15 / $53.70	Facility		$14.13	$37.15	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $38.90	Professional		$12.02	$16.60	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $46.77	Professional		$23.44	$37.15	$46.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $151.36	Professional		$16.98	$25.70	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.44 / $51.29	Facility		$18.62	$23.44	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $19.50 / $48.98	Professional		$6.03	$19.50	$48.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $93.33	Professional		$23.44	$25.12	$93.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $42.66	Facility		$19.50	$19.50	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $11.48 / $28.84	Professional		$5.75	$11.48	$28.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $19.50	Professional		$15.14	$19.50	$19.50