Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.67 / $117.63	Professional		$16.98	$24.67	$117.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $39.78 / $49.73	Professional		$39.78	$39.78	$49.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $24.83 / $62.10	Professional		$16.86	$24.83	$62.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $31.49 / $47.38	Professional		$21.87	$31.49	$47.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $36.09 / $47.00	Professional		$27.08	$36.09	$47.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.87 / $48.56	Professional		$20.00	$27.87	$48.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Professional		$35.90	$35.90	$35.90