Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $28.84 / $28.84	Facility		$21.88	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $30.20	Professional		$14.13	$21.88	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $21.38 / $39.81	Facility		$12.59	$21.38	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $40.74 / $51.29	Professional		$21.88	$40.74	$51.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $85.11	Professional		$28.84	$35.48	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.90 / $158.49	Facility		$23.99	$38.90	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.38 / $58.88	Professional		$16.22	$21.38	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $45.71	Professional		$38.90	$40.74	$45.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $58.88	Professional		$30.20	$58.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $16.22 / $25.12	Facility		$10.47	$16.22	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $30.20	Professional		$15.14	$17.78	$30.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $31.62	Professional		$25.12	$31.62	$31.62