Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $30.39 / $110.42	Facility		$29.71	$30.39	$110.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $30.39 / $64.23	Professional		$26.40	$30.39	$64.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $34.65 / $36.79	Professional		$29.44	$34.65	$36.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $37.14 / $62.10	Professional		$26.20	$37.14	$62.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $33.33 / $48.15	Facility		$22.22	$33.33	$48.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $30.02 / $39.84	Professional		$25.44	$30.02	$39.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $34.65 / $43.31	Facility		$18.05	$34.65	$43.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $34.65 / $40.64	Professional		$25.82	$34.65	$40.64
United Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $28.75 / $31.28	Professional		$25.44	$28.75	$31.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $29.71	Facility		$29.71	$29.71	$29.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.71 / $29.71 / $29.71	Professional		$29.71	$29.71	$29.71