Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $28.94 / $37.36	Facility		$28.94	$28.94	$37.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $28.49 / $42.88	Professional		$17.39	$28.49	$42.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $59.07	Facility		$33.33	$33.33	$59.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $55.88 / $73.63	Professional		$33.33	$55.88	$73.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $5.05 / $5.05	Professional		$4.80	$5.05	$5.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.94 / $75.92 / $238.49	Facility		$6.94	$75.92	$238.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $28.96 / $70.20	Professional		$23.68	$28.96	$70.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $5.96 / $14.09	Facility		$5.90	$5.96	$14.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $7.05 / $14.09	Professional		$5.85	$7.05	$14.09
United Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $26.21 / $68.66	Professional		$25.64	$26.21	$68.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $48.33 / $48.33	Professional		$38.18	$48.33	$48.33