Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $13.66 / $16.28	Facility		$13.66	$13.66	$16.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $13.66 / $18.52	Professional		$6.57	$13.66	$18.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $13.44 / $24.60	Facility		$9.66	$13.44	$24.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $24.60 / $30.94	Professional		$13.44	$24.60	$30.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $24.78 / $29.67	Professional		$19.21	$24.78	$29.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $25.83 / $101.60	Facility		$15.30	$25.83	$101.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $11.53 / $27.95	Professional		$9.49	$11.53	$27.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $24.60 / $29.48	Facility		$24.54	$24.60	$29.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $27.72 / $47.02	Professional		$19.26	$27.72	$47.02
United Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $10.19 / $14.10	Facility		$7.53	$10.19	$14.10
United Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $11.16 / $19.09	Professional		$9.49	$11.16	$19.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Facility		$20.12	$20.12	$20.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $20.12 / $20.12	Professional		$15.89	$20.12	$20.12