Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $16.98 / $30.90	Facility		$15.49	$16.98	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $38.02	Professional		$15.14	$16.98	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $19.50	Professional		$15.85	$19.50	$19.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $52.48	Professional		$14.79	$23.44	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.88 / $34.67	Facility		$10.96	$21.88	$34.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $30.20	Professional		$14.79	$17.38	$30.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $27.54	Professional		$25.70	$25.70	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $30.20	Facility		$0.02	$0.02	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $18.20	Professional		$15.49	$15.49	$18.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62