Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $44.23 / $634.03	Facility		$32.29	$44.23	$634.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $82.00 / $476.63	Professional		$30.01	$82.00	$476.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $27.49 / $34.36	Professional		$27.49	$27.49	$34.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $30.01 / $54.32	Professional		$26.75	$30.01	$54.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $29.30 / $41.56	Facility		$14.91	$29.30	$41.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $29.30 / $35.15	Professional		$16.64	$29.30	$35.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $35.85 / $53.64	Facility		$21.76	$35.85	$53.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $25.03 / $35.15	Professional		$6.18	$25.03	$35.15
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.61	Professional		$30.01	$30.01	$30.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $29.30 / $29.30	Facility		$29.30	$29.30	$29.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $29.30 / $29.30	Professional		$29.30	$29.30	$29.30