Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $35.84 / $43.15	Facility		$35.84	$35.84	$43.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $32.88 / $49.49	Professional		$18.93	$32.88	$49.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $39.06 / $66.80	Facility		$39.06	$39.06	$66.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $69.00 / $88.25	Professional		$39.06	$69.00	$88.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $5.97 / $5.97	Professional		$5.67	$5.97	$5.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $92.69 / $280.24	Facility		$15.78	$92.69	$280.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $33.08 / $81.03	Professional		$25.77	$33.08	$81.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $6.68 / $15.78	Facility		$6.68	$6.68	$15.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $7.99 / $15.78	Professional		$6.63	$7.99	$15.78
United Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $32.04 / $81.03	Professional		$28.12	$32.04	$81.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $54.66 / $54.66	Professional		$43.18	$54.66	$54.66