Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $43.93	Facility		$36.65	$36.65	$43.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $33.63 / $50.40	Professional		$19.41	$33.63	$50.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $39.90 / $67.79	Facility		$39.90	$39.90	$67.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $67.79 / $88.59	Professional		$39.90	$67.79	$88.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $6.10 / $6.10	Professional		$5.79	$6.10	$6.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $94.74 / $286.32	Facility		$16.02	$94.74	$286.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $33.34 / $82.51	Professional		$26.42	$33.34	$82.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.78 / $6.78 / $16.02	Facility		$6.78	$6.78	$16.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $8.10 / $16.02	Professional		$6.71	$8.10	$16.02
United Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $32.64 / $82.51	Professional		$29.77	$32.64	$82.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $55.47 / $55.47	Professional		$43.82	$55.47	$55.47