Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $23.03 / $27.62	Facility		$23.03	$23.03	$27.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $21.14 / $31.68	Professional		$11.99	$21.14	$31.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.33 / $42.33 / $42.33	Facility		$42.33	$42.33	$42.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $44.63 / $55.78	Professional		$30.30	$44.63	$55.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $3.85 / $3.85	Professional		$3.08	$3.85	$3.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.98 / $59.69 / $180.74	Facility		$9.98	$59.69	$180.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $20.60 / $51.86	Professional		$16.32	$20.60	$51.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.22 / $4.22 / $9.98	Facility		$4.22	$4.22	$9.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $5.05 / $9.98	Professional		$4.19	$5.05	$9.98
United Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $18.94 / $50.49	Professional		$18.79	$18.94	$50.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $34.63 / $34.63	Professional		$27.36	$34.63	$34.63