Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $32.17 / $38.75	Facility		$32.17	$32.17	$38.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $29.70 / $44.42	Professional		$19.87	$29.70	$44.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $33.36 / $65.92	Facility		$33.36	$33.36	$65.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $58.50 / $74.50	Professional		$33.36	$58.50	$74.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $5.11 / $5.50	Professional		$4.40	$5.11	$5.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $83.71 / $239.48	Facility		$7.70	$83.71	$239.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $31.25 / $72.76	Professional		$25.46	$31.25	$72.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $15.63	Facility		$6.61	$6.61	$15.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $7.90 / $15.63	Professional		$6.57	$7.90	$15.63
United Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $29.27 / $72.76	Professional		$26.57	$29.27	$72.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $53.94 / $53.94	Professional		$42.61	$53.94	$53.94