Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $84.45	Facility		$38.79	$38.79	$84.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $47.91 / $71.00	Professional		$36.85	$47.91	$71.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $44.01 / $46.92	Professional		$37.54	$44.01	$46.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $54.45 / $89.60	Professional		$41.01	$54.45	$89.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $38.79 / $81.45	Facility		$34.90	$38.79	$81.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $49.20 / $52.10	Professional		$43.54	$49.20	$52.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.01 / $44.22 / $56.75	Facility		$42.01	$44.22	$56.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $42.43 / $55.27	Professional		$27.34	$42.43	$55.27
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $49.20 / $52.10	Professional		$43.54	$49.20	$52.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $49.50 / $49.50	Facility		$49.50	$49.50	$49.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $49.50 / $49.50	Professional		$49.50	$49.50	$49.50