Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Facility		$4.54	$4.54	$4.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $8.94	Professional		$4.54	$4.54	$8.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Facility		$9.27	$9.27	$9.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $10.50 / $13.13	Professional		$9.27	$10.50	$13.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $131.00 / $140.12	Professional		$127.37	$131.00	$140.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $26.64 / $90.00	Facility		$4.54	$26.64	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $6.52 / $25.09	Professional		$5.39	$6.52	$25.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $22.18	Facility		$19.00	$19.00	$22.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $19.00 / $22.18	Professional		$15.32	$19.00	$22.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $6.23 / $14.76	Professional		$5.39	$6.23	$14.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Facility		$34.40	$34.40	$34.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $34.40 / $34.40	Professional		$27.18	$34.40	$34.40