Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $51.84 / $123.10	Facility		$51.84	$51.84	$123.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $44.55 / $51.84	Professional		$44.55	$44.55	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $9.31 / $9.84	Professional		$7.88	$9.31	$9.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $150.00 / $2,347.21	Professional		$13.21	$150.00	$2,347.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $13.07 / $81.17	Facility		$9.31	$13.07	$81.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $46.41 / $47.80	Professional		$11.00	$46.41	$47.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $10.95 / $14.76	Facility		$9.31	$10.95	$14.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $12.19 / $20.07	Professional		$9.31	$12.19	$20.07
United Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $46.41 / $47.80	Professional		$46.41	$46.41	$47.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $51.72 / $51.72 / $51.72	Facility		$51.72	$51.72	$51.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.72 / $51.72 / $51.72	Professional		$51.72	$51.72	$51.72