Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $28.08 / $71.88	Facility		$28.08	$28.08	$71.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.02 / $28.08	Professional		$26.02	$26.02	$28.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $24.84 / $29.06	Professional		$23.25	$24.84	$29.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $34.14 / $150.00	Professional		$29.73	$34.14	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $28.08 / $39.29	Facility		$24.84	$28.08	$39.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $27.10 / $43.01	Professional		$24.84	$27.10	$43.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.84 / $26.87 / $36.40	Facility		$24.84	$26.87	$36.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $34.85 / $53.54	Professional		$23.95	$34.85	$53.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $28.75	Professional		$27.10	$27.10	$28.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Facility		$27.10	$27.10	$27.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Professional		$27.10	$27.10	$27.10