Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $44.62 / $68.03	Facility		$25.00	$44.62	$68.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $19.25 / $24.25	Professional		$16.50	$19.25	$24.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.04 / $56.30	Professional		$30.00	$45.04	$56.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $37.50 / $45.25	Professional		$27.50	$37.50	$45.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $32.26 / $64.00	Facility		$25.00	$32.26	$64.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $25.00 / $98.35	Professional		$15.00	$25.00	$98.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $47.59 / $70.58	Facility		$30.00	$47.59	$70.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.53 / $63.75	Professional		$30.00	$48.53	$63.75
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $51.19	Professional		$15.00	$15.00	$51.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00