Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $35.74 / $79.00	Facility		$35.74	$35.74	$79.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.74 / $59.76	Professional		$35.54	$35.74	$59.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $34.65 / $43.31	Professional		$34.65	$34.65	$43.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $35.54 / $64.34	Professional		$22.20	$35.54	$64.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $35.90 / $43.10	Facility		$16.00	$35.90	$43.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $35.90 / $43.10	Professional		$16.07	$35.90	$43.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $43.10 / $67.98	Facility		$16.00	$43.10	$67.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $33.90 / $50.99	Professional		$16.00	$33.90	$50.99
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $36.61	Professional		$35.54	$35.54	$36.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Facility		$35.90	$35.90	$35.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Professional		$35.90	$35.90	$35.90