Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $21.76 / $24.55	Facility		$16.84	$21.76	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $10.71 / $21.76	Professional		$9.64	$10.71	$21.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $14.14 / $17.67	Professional		$14.14	$14.14	$17.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $17.39 / $96.73	Professional		$9.64	$17.39	$96.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $16.64 / $21.76	Facility		$12.47	$16.64	$21.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $13.28 / $66.50	Professional		$11.16	$13.28	$66.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $15.01 / $18.87	Facility		$11.28	$15.01	$18.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $14.34 / $23.00	Professional		$12.06	$14.34	$23.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $9.93 / $66.50	Professional		$8.48	$9.93	$66.50
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $11.16 / $11.16	Facility		$11.16	$11.16	$11.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $11.16 / $11.16	Professional		$11.16	$11.16	$11.16