Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.34 / $71.69 / $109.31	Facility		$39.34	$71.69	$109.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $30.93 / $108.56	Professional		$26.51	$30.93	$108.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $73.11 / $91.39	Professional		$46.26	$73.11	$91.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $50.21 / $70.30	Professional		$22.86	$50.21	$70.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $48.20 / $88.78	Facility		$16.02	$48.20	$88.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $24.10 / $82.75	Professional		$7.87	$24.10	$82.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $52.22 / $88.03	Facility		$12.69	$52.22	$88.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $51.83 / $88.03	Professional		$15.88	$51.83	$88.03
United Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $40.17 / $40.17	Facility		$40.17	$40.17	$40.17
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $24.10 / $46.73	Professional		$8.11	$24.10	$46.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $40.17 / $40.17	Professional		$31.73	$40.17	$40.17