Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $32.36 / $169.82	Facility		$14.45	$32.36	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $87.10	Professional		$12.88	$15.85	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.50 / $23.44	Professional		$18.62	$19.50	$23.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $31.62 / $81.28	Professional		$18.20	$31.62	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $41.69	Facility		$18.20	$21.88	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.20 / $45.71	Professional		$10.72	$18.20	$45.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.88 / $21.88	Professional		$19.50	$21.88	$21.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $39.81	Facility		$18.20	$18.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.18 / $41.69	Professional		$10.72	$13.18	$41.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $18.20	Professional		$14.13	$18.20	$18.20