Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $28.98	Facility		$16.62	$16.62	$28.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $16.62 / $12,480.00	Professional		$12.99	$16.62	$12,480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $13.05 / $16.30	Professional		$13.05	$13.05	$16.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $23.51 / $34.86	Professional		$12.99	$23.51	$34.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $15.31 / $19.72	Facility		$13.29	$15.31	$19.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $19.14	Professional		$13.29	$13.29	$19.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $19.14 / $29.99	Facility		$14.71	$19.14	$29.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $15.95 / $30.43	Professional		$14.43	$15.95	$30.43
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $13.25	Professional		$12.99	$12.99	$13.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Facility		$13.29	$13.29	$13.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29