Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $23.11 / $26.36	Facility		$23.11	$23.11	$26.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $23.00 / $30.46	Professional		$11.27	$23.00	$30.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $39.86	Facility		$24.26	$24.26	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $40.25 / $52.50	Professional		$24.26	$40.25	$52.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $36.36 / $44.59	Professional		$35.90	$36.36	$44.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $46.56 / $169.60	Facility		$24.77	$46.56	$169.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $24.10 / $49.51	Professional		$17.32	$24.10	$49.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.74 / $39.86 / $49.55	Facility		$39.74	$39.86	$49.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $46.56 / $76.17	Professional		$32.65	$46.56	$76.17
United Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.68 / $47.11	Professional		$17.32	$18.68	$47.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $35.52 / $35.52	Facility		$35.52	$35.52	$35.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $35.52 / $35.52	Professional		$28.06	$35.52	$35.52