Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $31.71 / $82.05	Facility		$14.46	$31.71	$82.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $10.33 / $36.26	Professional		$8.86	$10.33	$36.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $23.49 / $83.36	Professional		$13.42	$23.49	$83.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $20.11 / $58.23	Facility		$13.42	$20.11	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $13.42 / $33.94	Professional		$8.05	$13.42	$33.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $24.60 / $42.07	Facility		$14.69	$24.60	$42.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $24.60 / $35.03	Professional		$16.10	$24.60	$35.03
United Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $13.42 / $13.42	Facility		$13.42	$13.42	$13.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $10.06 / $33.50	Professional		$8.05	$10.06	$33.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $13.42 / $13.42	Professional		$10.60	$13.42	$13.42