Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $21.43 / $26.84	Facility		$21.43	$21.43	$26.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $17.30 / $27.19	Professional		$14.29	$17.30	$27.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $28.58	Facility		$28.58	$28.58	$28.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $32.25 / $41.24	Professional		$28.58	$32.25	$41.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $41.92 / $44.84	Professional		$40.76	$41.92	$44.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.94 / $58.00 / $150.43	Facility		$15.94	$58.00	$150.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $21.30 / $58.00	Professional		$16.51	$21.30	$58.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $41.24 / $65.26	Facility		$34.63	$41.24	$65.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $50.18 / $70.94	Professional		$34.45	$50.18	$70.94
United Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $18.80 / $43.89	Professional		$16.67	$18.80	$43.89
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $11.58 / $11.58	Facility		$11.58	$11.58	$11.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $11.58 / $11.58	Professional		$9.15	$11.58	$11.58