Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $46.26 / $117.16	Facility		$21.10	$46.26	$117.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $15.07 / $97.46	Professional		$15.07	$15.07	$97.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $23.48 / $25.78	Professional		$20.63	$23.48	$25.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $29.36 / $55.25	Professional		$19.57	$29.36	$55.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $23.48 / $50.88	Facility		$17.29	$23.48	$50.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $15.08 / $49.49	Professional		$8.06	$15.08	$49.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $27.40 / $50.88	Facility		$23.48	$27.40	$50.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $26.73 / $49.90	Professional		$15.08	$26.73	$49.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $11.74 / $36.20	Professional		$8.06	$11.74	$36.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $19.57 / $19.57	Professional		$15.46	$19.57	$19.57