Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $29.25 / $87.46	Facility		$29.25	$29.25	$87.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $29.25 / $70.43	Professional		$24.86	$29.25	$70.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $28.41 / $35.39	Professional		$28.31	$28.41	$35.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $19.29 / $62.10	Professional		$12.85	$19.29	$62.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $32.28 / $48.32	Facility		$27.35	$32.28	$48.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $31.40 / $40.40	Professional		$27.79	$31.40	$40.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $34.18 / $38.15	Facility		$26.88	$34.18	$38.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $34.18 / $68.53	Professional		$32.00	$34.18	$68.53
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $31.40 / $32.79	Professional		$27.79	$31.40	$32.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Facility		$24.50	$24.50	$24.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50