Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $30.20	Professional		$15.14	$19.05	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.11 / $173.78	Professional		$15.85	$33.11	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $79.43	Professional		$15.14	$19.95	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $52.48 / $194.98	Facility		$16.60	$52.48	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $912.01	Professional		$19.05	$37.15	$912.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $117.49	Professional		$38.90	$52.48	$117.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $66.07	Professional		$17.78	$22.39	$66.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Professional		$39.81	$39.81	$46.77