Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $30.92 / $30.92	Facility		$30.92	$30.92	$30.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $30.92 / $33.47	Professional		$30.44	$30.92	$33.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $31.02 / $36.56	Professional		$29.25	$31.02	$36.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $20.21 / $96.80	Professional		$12.97	$20.21	$96.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $55.94 / $99.06	Facility		$30.92	$55.94	$99.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $36.27 / $88.63	Professional		$30.74	$36.27	$88.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $79.30 / $109.16	Facility		$35.25	$79.30	$109.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $79.05 / $103.56	Professional		$35.00	$79.05	$103.56
United Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $34.74 / $42.42	Professional		$30.74	$34.74	$42.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Facility		$29.84	$29.84	$29.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84