Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $23.16 / $39.47	Facility		$18.59	$23.16	$39.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $36.40	Professional		$10.62	$10.62	$36.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $11.15 / $13.50	Professional		$10.80	$11.15	$13.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $78.61	Professional		$10.62	$10.62	$78.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $14.39 / $29.00	Facility		$12.74	$14.39	$29.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $19.18	Professional		$10.62	$10.62	$19.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $14.16 / $22.30	Facility		$12.74	$14.16	$22.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $12.74 / $26.75	Professional		$11.57	$12.74	$26.75
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.94	Professional		$10.62	$10.62	$10.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Facility		$10.62	$10.62	$10.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62