Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $18.95 / $18.95	Professional		$11.24	$18.95	$18.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.18 / $15.61	Professional		$12.49	$14.18	$15.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $39.15 / $62.10	Professional		$26.38	$39.15	$62.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $24.27 / $30.83	Facility		$6.61	$24.27	$30.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $19.18 / $28.58	Professional		$11.76	$19.18	$28.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $22.08 / $30.83	Facility		$14.18	$22.08	$30.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $22.08 / $30.07	Professional		$11.76	$22.08	$30.07
United Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $14.91 / $27.97	Professional		$10.83	$14.91	$27.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $21.80 / $21.80	Professional		$21.80	$21.80	$21.80