Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $23.32	Facility		$19.37	$19.37	$23.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $17.77 / $26.74	Professional		$10.09	$17.77	$26.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $21.16 / $35.94	Facility		$21.16	$21.16	$35.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $37.50 / $90.91	Professional		$21.16	$37.50	$90.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $3.24 / $3.24	Professional		$3.08	$3.24	$3.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $50.69 / $151.87	Facility		$8.50	$50.69	$151.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $17.63 / $43.79	Professional		$13.74	$17.63	$43.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $3.60 / $8.50	Facility		$3.60	$3.60	$8.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $4.30 / $8.50	Professional		$3.58	$4.30	$8.50
United Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $15.99 / $42.47	Professional		$15.94	$15.99	$42.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $29.40 / $29.40	Professional		$23.23	$29.40	$29.40