Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $39.36 / $99.04	Professional		$12.50	$39.36	$99.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $29.86 / $37.32	Professional		$29.86	$29.86	$37.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $18.28 / $35.01	Professional		$13.09	$18.28	$35.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $14.18 / $27.87	Professional		$12.00	$14.18	$27.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $24.04 / $32.04	Professional		$12.00	$24.04	$32.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $12.11 / $26.04	Professional		$12.11	$12.11	$26.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $17.70 / $17.70	Professional		$17.70	$17.70	$17.70