Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $78.55 / $78.55	Facility		$33.97	$78.55	$78.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $78.55	Professional		$16.07	$16.07	$78.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $25.95 / $27.52	Professional		$22.01	$25.95	$27.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $17.39 / $155.09	Professional		$16.07	$17.39	$155.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $24.56 / $94.58	Facility		$15.00	$24.56	$94.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $15.58 / $39.84	Professional		$15.58	$15.58	$39.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $57.42 / $115.77	Facility		$18.70	$57.42	$115.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $25.95 / $53.74	Professional		$16.63	$25.95	$53.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.55	Professional		$16.07	$16.07	$16.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $15.58 / $15.58	Facility		$15.58	$15.58	$15.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $15.58 / $15.58	Professional		$15.58	$15.58	$15.58