Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $42.00 / $139.68	Facility		$21.05	$42.00	$139.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $11.08 / $92.53	Professional		$9.50	$11.08	$92.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $21.59 / $73.25	Professional		$14.39	$21.59	$73.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $22.46 / $68.13	Facility		$14.39	$22.46	$68.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $14.39 / $38.79	Professional		$8.63	$14.39	$38.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $29.32 / $44.82	Facility		$17.62	$29.32	$44.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $29.32 / $41.45	Professional		$17.29	$29.32	$41.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $12.07 / $34.86	Professional		$8.63	$12.07	$34.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $14.39 / $14.39	Professional		$11.37	$14.39	$14.39