Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $16.36 / $18.67	Facility		$16.36	$16.36	$18.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $16.28 / $21.57	Professional		$7.53	$16.28	$21.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $23.98	Facility		$15.42	$15.42	$23.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $23.98 / $37.03	Professional		$15.88	$23.98	$37.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $26.88 / $36.96	Professional		$21.80	$26.88	$36.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $28.03 / $116.25	Facility		$14.90	$28.03	$116.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $11.74 / $29.81	Professional		$9.98	$11.74	$29.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $24.33 / $32.14	Facility		$23.98	$24.33	$32.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $28.34 / $45.87	Professional		$19.66	$28.34	$45.87
United Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $10.88 / $25.68	Professional		$9.89	$10.88	$25.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $19.62 / $19.62	Facility		$19.62	$19.62	$19.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $19.62 / $19.62	Professional		$15.50	$19.62	$19.62