Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $27.54 / $47.86	Facility		$23.99	$27.54	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $56.23	Professional		$23.99	$25.12	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $30.90	Professional		$24.55	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $151.36	Professional		$23.44	$39.81	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $25.70 / $35.48	Facility		$23.44	$25.70	$35.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $30.20	Professional		$23.44	$23.44	$30.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $30.20	Professional		$25.70	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $25.12	Professional		$22.91	$23.99	$25.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44