Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $23.44 / $109.65	Facility		$7.08	$23.44	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $16.98	Professional		$6.03	$7.94	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.62 / $23.44	Professional		$13.80	$18.62	$23.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $21.88 / $77.62	Professional		$9.77	$21.88	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.88 / $30.90	Facility		$9.77	$12.88	$30.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.59 / $25.70	Professional		$9.77	$12.59	$25.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.75 / $11.75	Professional		$10.96	$11.75	$11.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $21.88	Facility		$9.77	$9.77	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.77 / $21.38	Professional		$8.71	$9.77	$21.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $9.77	Professional		$7.76	$9.77	$9.77