Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $32.36 / $47.86	Facility		$12.88	$32.36	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $16.98	Professional		$12.02	$12.88	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $41.69	Professional		$33.11	$33.11	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $151.36	Professional		$14.79	$23.44	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.42 / $40.74	Facility		$17.38	$20.42	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.38 / $69.18	Professional		$10.23	$17.38	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.89	Professional		$20.42	$20.42	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $39.81	Facility		$17.38	$17.38	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $43.65	Professional		$10.23	$10.23	$43.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38