Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.21 / $34.81 / $1,003.07	Facility		$27.21	$34.81	$1,003.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $39.33 / $725.98	Professional		$18.11	$39.33	$725.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $21.94	Professional		$17.55	$17.55	$21.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $34.86	Professional		$18.11	$18.11	$34.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $19.57 / $25.43	Facility		$18.00	$19.57	$25.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $18.03 / $26.11	Professional		$16.37	$18.03	$26.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $26.10 / $36.36	Facility		$18.00	$26.10	$36.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $19.91 / $27.39	Professional		$14.20	$19.91	$27.39
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.64	Professional		$18.11	$18.11	$18.64
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $18.03 / $18.03	Facility		$18.03	$18.03	$18.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $18.03 / $18.03	Professional		$18.03	$18.03	$18.03