Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $22.53 / $56.22	Facility		$22.53	$22.53	$56.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $22.14 / $29.59	Professional		$10.37	$22.14	$29.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $21.22 / $38.85	Facility		$12.60	$21.22	$38.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $38.85 / $51.09	Professional		$21.22	$38.85	$51.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $35.32 / $53.31	Professional		$29.00	$35.32	$53.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $41.04 / $157.81	Facility		$24.14	$41.04	$157.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $18.21 / $45.92	Professional		$14.98	$18.21	$45.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $38.85 / $46.56	Facility		$38.72	$38.85	$46.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $44.33 / $74.26	Professional		$30.42	$44.33	$74.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $17.62 / $30.25	Professional		$14.67	$17.62	$30.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $31.79 / $31.79 / $31.79	Facility		$31.79	$31.79	$31.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $31.79 / $31.79	Professional		$25.11	$31.79	$31.79