Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $18.20	Professional		$10.96	$15.85	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $38.90	Professional		$18.20	$22.39	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $21.88	Professional		$12.88	$15.14	$21.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $102.33	Professional		$16.98	$26.92	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $40.74	Professional		$21.38	$26.92	$40.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $38.02	Professional		$16.98	$23.44	$38.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $23.44	Professional		$18.62	$21.88	$23.44