Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $25.16 / $30.31	Facility		$25.16	$25.16	$30.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $22.45 / $33.19	Professional		$15.41	$22.45	$33.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $51.06	Facility		$25.90	$25.90	$51.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $34.00 / $57.19	Professional		$25.90	$34.00	$57.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $3.97 / $3.97	Professional		$3.71	$3.97	$3.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $54.34 / $185.84	Facility		$6.26	$54.34	$185.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $22.67 / $56.92	Professional		$18.07	$22.67	$56.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $5.38 / $12.71	Facility		$4.93	$5.38	$12.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.07 / $12.71	Professional		$4.88	$6.07	$12.71
United Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $22.31 / $56.92	Professional		$18.93	$22.31	$56.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $41.78 / $41.78	Professional		$33.01	$41.78	$41.78