Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $19.47 / $23.34	Facility		$19.47	$19.47	$23.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $17.66 / $26.77	Professional		$10.93	$17.66	$26.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $38.31	Facility		$20.72	$20.72	$38.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $27.20 / $45.94	Professional		$20.72	$27.20	$45.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.17 / $3.31	Professional		$3.01	$3.17	$3.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $50.45 / $148.63	Facility		$9.02	$50.45	$148.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $16.98 / $43.82	Professional		$12.83	$16.98	$43.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $3.82 / $9.02	Facility		$3.82	$3.82	$9.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $4.55 / $9.02	Professional		$3.78	$4.55	$9.02
United Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $16.63 / $43.82	Professional		$14.83	$16.63	$43.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $31.35 / $31.35	Professional		$24.77	$31.35	$31.35