Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $37.58 / $54.77	Facility		$17.14	$37.58	$54.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $12.24 / $42.96	Professional		$10.49	$12.24	$42.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $28.72 / $35.90	Professional		$18.17	$28.72	$35.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $27.81 / $44.20	Professional		$15.89	$27.81	$44.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $21.61 / $61.86	Facility		$15.89	$21.61	$61.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $15.89 / $37.13	Professional		$9.52	$15.89	$37.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $29.12 / $47.30	Facility		$15.79	$29.12	$47.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $26.67 / $41.47	Professional		$16.05	$26.67	$41.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $10.52 / $36.00	Professional		$9.52	$10.52	$36.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $15.89 / $15.89	Professional		$12.55	$15.89	$15.89