Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $36.31	Facility		$22.91	$22.91	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $60.26	Professional		$14.13	$22.91	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $70.79	Professional		$34.67	$42.66	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $35.48 / $60.26	Professional		$14.79	$35.48	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $44.67 / $70.79	Facility		$35.48	$44.67	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $89.13	Professional		$28.18	$45.71	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $63.10	Professional		$37.15	$50.12	$63.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $63.10	Professional		$32.36	$39.81	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.11 / $66.07	Professional		$18.20	$33.11	$66.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $56.23	Professional		$29.51	$34.67	$56.23