Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $60.26 / $77.62	Facility		$21.88	$60.26	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $33.11	Professional		$18.20	$22.91	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $58.88	Professional		$28.18	$46.77	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.70 / $436.52	Professional		$13.80	$25.70	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $34.67 / $380.19	Facility		$19.95	$34.67	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.05 / $204.17	Professional		$9.77	$19.05	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $72.44	Professional		$44.67	$44.67	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $389.05 / $524.81	Facility		$223.87	$389.05	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $18.62 / $31.62	Professional		$9.77	$18.62	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $23.44	Professional		$15.85	$19.95	$23.44