Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $38.02	Facility		$30.90	$30.90	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $44.67	Professional		$18.20	$28.84	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $67.61	Facility		$26.30	$26.30	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $60.26 / $75.86	Professional		$26.30	$60.26	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.13 / $5.25	Professional		$4.17	$5.13	$5.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $79.43 / $251.19	Facility		$7.76	$79.43	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $72.44	Professional		$19.95	$28.18	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $154.88	Professional		$66.07	$75.86	$154.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $19.50 / $38.90	Facility		$2.29	$19.50	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $27.54 / $74.13	Professional		$23.99	$27.54	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $53.70	Professional		$42.66	$53.70	$53.70