Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $36.15 / $48.46	Facility		$16.48	$36.15	$48.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $11.78 / $41.35	Professional		$10.10	$11.78	$41.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.42 / $34.27	Professional		$17.35	$27.42	$34.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $26.78 / $133.88	Professional		$15.30	$26.78	$133.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $25.67 / $74.00	Facility		$15.30	$25.67	$74.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $15.30 / $41.01	Professional		$9.18	$15.30	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $31.17 / $47.97	Facility		$18.38	$31.17	$47.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $28.05 / $41.01	Professional		$17.00	$28.05	$41.01
United Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $12.83 / $38.69	Professional		$9.18	$12.83	$38.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $15.30 / $15.30	Professional		$12.09	$15.30	$15.30