Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $31.51 / $51.60	Facility		$17.46	$31.51	$51.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $12.47 / $54.00	Professional		$10.69	$12.47	$54.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $29.38 / $36.72	Professional		$18.59	$29.38	$36.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $28.35 / $119.98	Professional		$16.20	$28.35	$119.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $22.12 / $63.09	Facility		$16.20	$22.12	$63.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $16.20 / $37.99	Professional		$9.72	$16.20	$37.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $29.70 / $47.30	Facility		$16.16	$29.70	$47.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $29.00 / $42.28	Professional		$16.16	$29.00	$42.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $10.77 / $36.86	Professional		$9.72	$10.77	$36.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.20 / $16.20	Professional		$12.80	$16.20	$16.20