Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $58.88 / $85.11	Facility		$23.99	$58.88	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $66.07	Professional		$19.95	$26.92	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $74.13	Professional		$44.67	$60.26	$74.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $151.36	Professional		$26.92	$40.74	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $38.02 / $83.18	Facility		$31.62	$38.02	$83.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $72.44	Professional		$18.62	$18.62	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $69.18	Facility		$31.62	$31.62	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $67.61	Professional		$18.62	$18.62	$67.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $31.62	Professional		$24.55	$31.62	$31.62