Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $33.19 / $39.69	Facility		$27.23	$33.19	$39.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $27.96 / $33.19	Professional		$16.54	$27.96	$33.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $16.35 / $20.44	Professional		$16.35	$16.35	$20.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $17.52 / $35.27	Professional		$16.54	$17.52	$35.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $19.12 / $33.19	Facility		$15.99	$19.12	$33.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $18.04 / $24.72	Professional		$15.80	$18.04	$24.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $18.02 / $21.65	Facility		$13.59	$18.02	$21.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $16.94 / $24.72	Professional		$14.65	$16.94	$24.72
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $17.04	Professional		$16.54	$16.54	$17.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.04 / $18.04 / $18.04	Facility		$18.04	$18.04	$18.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.04 / $18.04	Professional		$18.04	$18.04	$18.04