Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $23.77 / $50.27	Facility		$13.17	$23.77	$50.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $10.63 / $78.56	Professional		$9.41	$10.63	$78.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $22.20 / $27.74	Professional		$14.97	$22.20	$27.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $21.39 / $58.64	Professional		$12.22	$21.39	$58.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $17.45 / $38.03	Facility		$12.22	$17.45	$38.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $14.66 / $62.65	Professional		$7.33	$14.66	$62.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $24.90 / $38.31	Facility		$14.66	$24.90	$38.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $24.90 / $35.84	Professional		$14.67	$24.90	$35.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $7.33 / $29.60	Professional		$7.33	$7.33	$29.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $12.22 / $12.22	Professional		$12.22	$12.22	$12.22