Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $12.02	Facility		$7.94	$7.94	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $12.02	Professional		$6.03	$7.24	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $28.84	Professional		$18.20	$22.91	$28.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $31.62 / $33.88	Professional		$30.90	$31.62	$33.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $21.88 / $89.13	Facility		$8.13	$21.88	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.02 / $36.31	Professional		$7.76	$12.02	$36.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $24.55 / $56.23	Professional		$16.60	$24.55	$56.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $26.92	Professional		$25.12	$26.92	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $8.71 / $14.45	Facility		$6.61	$8.71	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.71 / $16.22	Professional		$7.76	$8.71	$16.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $44.67	Professional		$35.48	$44.67	$44.67