Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $41.59 / $62.98	Facility		$12.24	$41.59	$62.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.85 / $27.02	Professional		$10.16	$11.85	$27.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $28.07 / $35.09	Professional		$17.76	$28.07	$35.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $19.23 / $119.65	Professional		$7.11	$19.23	$119.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.52 / $19.86 / $41.01	Facility		$5.52	$19.86	$41.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $15.39 / $38.07	Professional		$2.52	$15.39	$38.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $21.55 / $33.72	Facility		$15.23	$21.55	$33.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $28.20 / $40.17	Professional		$18.47	$28.20	$40.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $9.23 / $35.40	Professional		$2.60	$9.23	$35.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $15.39 / $15.39	Professional		$12.16	$15.39	$15.39