Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $42.65 / $85.22	Facility		$23.63	$42.65	$85.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $19.07 / $21.26	Professional		$14.47	$19.07	$21.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.82 / $49.78	Professional		$26.30	$39.82	$49.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $39.68 / $127.56	Professional		$21.92	$39.68	$127.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $31.18 / $68.72	Facility		$21.92	$31.18	$68.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $26.30 / $106.19	Professional		$13.15	$26.30	$106.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $40.85 / $68.72	Facility		$26.30	$40.85	$68.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.00 / $58.82	Professional		$26.30	$43.00	$58.82
United Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $21.92 / $50.42	Facility		$21.92	$21.92	$50.42
United Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $41.22	Professional		$13.15	$13.15	$41.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $21.92 / $21.92	Professional		$21.92	$21.92	$21.92