Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $25.84 / $75.68	Facility		$6.69	$25.84	$75.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $18.46 / $65.00	Professional		$3.78	$18.46	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $24.43 / $30.54	Professional		$24.43	$24.43	$30.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $16.10 / $41.09	Professional		$10.82	$16.10	$41.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $20.42 / $28.21	Facility		$10.00	$20.42	$28.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $12.76 / $26.66	Professional		$11.04	$12.76	$26.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $23.90 / $27.87	Facility		$12.11	$23.90	$27.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $22.70 / $32.04	Professional		$10.00	$22.70	$32.04
United Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $12.11 / $22.63	Professional		$11.37	$12.11	$22.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $14.50 / $14.50	Professional		$14.50	$14.50	$14.50