Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $23.01 / $23.01	Facility		$23.01	$23.01	$23.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $23.01 / $30.02	Professional		$16.32	$23.01	$30.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $26.23 / $27.84	Professional		$22.28	$26.23	$27.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $24.60 / $76.89	Professional		$15.59	$24.60	$76.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $23.01 / $31.88	Facility		$16.00	$23.01	$31.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $22.88 / $30.39	Professional		$17.77	$22.88	$30.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $24.32 / $31.88	Facility		$16.05	$24.32	$31.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $24.85 / $31.88	Professional		$16.00	$24.85	$31.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $22.28 / $23.98	Professional		$19.72	$22.28	$23.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $22.07 / $22.07	Facility		$22.07	$22.07	$22.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $22.07 / $22.07	Professional		$22.07	$22.07	$22.07