Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $47.86 / $89.13	Facility		$43.65	$47.86	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $54.95	Professional		$43.65	$45.71	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $47.86 / $151.36	Professional		$14.79	$47.86	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $46.77 / $51.29	Facility		$11.75	$46.77	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $45.71 / $54.95	Professional		$15.14	$45.71	$54.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $45.71	Professional		$12.59	$12.59	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $77.62	Facility		$0.05	$0.05	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $47.86	Professional		$45.71	$45.71	$47.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90