Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $18.25 / $29.32	Facility		$10.94	$18.25	$29.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $9.07 / $42.00	Professional		$5.76	$9.07	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $13.71 / $17.14	Professional		$8.67	$13.71	$17.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $13.09 / $30.83	Professional		$7.48	$13.09	$30.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $11.56 / $32.74	Facility		$7.48	$11.56	$32.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $7.66 / $19.52	Professional		$4.49	$7.66	$19.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $14.04 / $23.45	Facility		$8.44	$14.04	$23.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $14.04 / $19.96	Professional		$8.98	$14.04	$19.96
United Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $4.59 / $17.20	Professional		$4.49	$4.59	$17.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $7.48 / $7.48	Professional		$5.91	$7.48	$7.48