Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $20.83 / $20.83	Facility		$19.12	$20.83	$20.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $14.94 / $21.75	Professional		$10.78	$14.94	$21.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $27.97	Facility		$16.62	$16.62	$27.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $28.88 / $36.09	Professional		$16.62	$28.88	$36.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $27.92 / $34.22	Professional		$24.16	$27.92	$34.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.21 / $33.06 / $132.87	Facility		$16.21	$33.06	$132.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $16.54 / $34.74	Professional		$12.40	$16.54	$34.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.89 / $27.97 / $37.76	Facility		$27.89	$27.97	$37.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $33.06 / $53.45	Professional		$22.90	$33.06	$53.45
United Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Facility		$16.25	$16.25	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $12.68 / $24.20	Professional		$12.40	$12.68	$24.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $24.92 / $24.92	Facility		$24.92	$24.92	$24.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $24.92 / $24.92	Professional		$19.69	$24.92	$24.92