Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $29.81 / $31.55	Facility		$29.81	$29.81	$31.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $23.02 / $38.53	Professional		$17.23	$23.02	$38.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $26.67 / $46.95	Facility		$26.67	$26.67	$46.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $49.88 / $62.34	Professional		$26.67	$49.88	$62.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $44.70 / $48.44	Professional		$40.54	$44.70	$48.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.81 / $54.84 / $199.79	Facility		$26.81	$54.84	$199.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $22.10 / $58.21	Professional		$19.12	$22.10	$58.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.95 / $58.21	Facility		$46.80	$46.95	$58.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $54.84 / $89.72	Professional		$38.46	$54.84	$89.72
United Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $21.29 / $50.30	Professional		$18.95	$21.29	$50.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $40.54	Facility		$40.54	$40.54	$40.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $40.54 / $40.54	Professional		$32.03	$40.54	$40.54