Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $30.20	Facility		$25.12	$25.12	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $33.11	Professional		$15.14	$21.88	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $52.48	Facility		$25.70	$25.70	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $56.23	Professional		$25.70	$44.67	$56.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.98 / $3.98	Professional		$3.16	$3.98	$3.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $57.54 / $186.21	Facility		$5.37	$57.54	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $52.48	Professional		$16.60	$21.38	$52.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $120.23	Professional		$51.29	$58.88	$120.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $52.48 / $52.48	Facility		$47.86	$52.48	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $15.49 / $30.90	Facility		$2.04	$15.49	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.38 / $57.54	Professional		$19.05	$21.38	$57.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $41.69	Professional		$33.11	$41.69	$41.69