Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $101.35	Facility		$35.97	$35.97	$101.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $35.97 / $58.08	Professional		$30.57	$35.97	$58.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $34.84 / $43.55	Professional		$34.84	$34.84	$43.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $52.96 / $150.00	Professional		$46.13	$52.96	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $35.97 / $70.14	Facility		$32.36	$35.97	$70.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $38.61 / $48.08	Professional		$34.17	$38.61	$48.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $42.04 / $42.50	Facility		$27.52	$42.04	$42.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $41.01 / $71.73	Professional		$27.84	$41.01	$71.73
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $38.61 / $40.32	Professional		$34.17	$38.61	$40.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $30.10 / $30.10	Facility		$30.10	$30.10	$30.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $30.10 / $30.10	Professional		$30.10	$30.10	$30.10