Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $37.15 / $72.44	Facility		$36.31	$37.15	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $51.29	Professional		$36.31	$37.15	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $46.77	Professional		$37.15	$37.15	$46.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $64.57	Professional		$22.39	$35.48	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $36.31 / $42.66	Facility		$15.85	$36.31	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $36.31 / $42.66	Professional		$15.85	$36.31	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $30.20	Professional		$12.88	$12.88	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $38.02	Professional		$33.88	$36.31	$38.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48