Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.90 / $45.71	Facility		$12.02	$30.90	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $25.70	Professional		$10.00	$12.88	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $39.81	Professional		$19.95	$31.62	$39.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $50.12	Professional		$16.60	$29.51	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.95 / $43.65	Facility		$16.60	$19.95	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.60 / $36.31	Professional		$9.77	$16.60	$36.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $21.38	Professional		$14.79	$19.95	$21.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $36.31	Facility		$16.60	$16.60	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.00 / $35.48	Professional		$9.77	$10.00	$35.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $16.60	Professional		$12.88	$16.60	$16.60