Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $13.34	Facility		$13.10	$13.10	$13.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $11.02 / $19.16	Professional		$7.55	$11.02	$19.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $12.18 / $23.18	Facility		$12.18	$12.18	$23.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $21.75 / $27.19	Professional		$12.18	$21.75	$27.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $24.62 / $27.64	Professional		$17.91	$24.62	$27.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $24.46 / $95.99	Facility		$13.24	$24.46	$95.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $10.86 / $27.62	Professional		$9.15	$10.86	$27.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $23.18 / $27.88	Facility		$23.12	$23.18	$27.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $27.08 / $44.25	Professional		$18.97	$27.08	$44.25
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $10.51 / $27.62	Professional		$9.07	$10.51	$27.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Facility		$20.65	$20.65	$20.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $20.65 / $20.65	Professional		$16.30	$20.65	$20.65