Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $24.53 / $31.10	Facility		$24.53	$24.53	$31.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $23.13 / $35.64	Professional		$17.51	$23.13	$35.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $51.05	Facility		$28.34	$28.34	$51.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.36 / $57.23	Professional		$45.00	$50.36	$57.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $4.04 / $4.04	Professional		$3.68	$4.04	$4.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $58.71 / $203.16	Facility		$5.90	$58.71	$203.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $23.78 / $55.47	Professional		$20.26	$23.78	$55.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $5.51 / $11.99	Facility		$5.07	$5.51	$11.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $6.59 / $11.99	Professional		$5.48	$6.59	$11.99
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $23.29 / $55.47	Professional		$20.26	$23.29	$55.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $41.77 / $41.77	Professional		$33.00	$41.77	$41.77