Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $16.38 / $20.53	Facility		$16.38	$16.38	$20.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $13.23 / $21.22	Professional		$10.92	$13.23	$21.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $28.09 / $28.09	Facility		$28.09	$28.09	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $28.09 / $31.55	Professional		$24.75	$28.09	$31.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $87.66 / $93.77	Professional		$85.23	$87.66	$93.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $43.56 / $115.05	Facility		$13.23	$43.56	$115.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $16.59 / $49.92	Professional		$12.75	$16.59	$49.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $31.55 / $49.92	Facility		$26.48	$31.55	$49.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $39.90 / $54.40	Professional		$26.35	$39.90	$54.40
United Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $13.27 / $33.57	Professional		$12.75	$13.27	$33.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $184.73 / $184.73 / $184.73	Facility		$184.73	$184.73	$184.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $184.73 / $184.73	Professional		$145.94	$184.73	$184.73