Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $22.78 / $68.11	Facility		$22.78	$22.78	$68.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $22.78 / $43.77	Professional		$19.36	$22.78	$43.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $22.05 / $27.56	Professional		$22.05	$22.05	$27.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $19.29 / $52.96	Professional		$12.85	$19.29	$52.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $22.95 / $34.71	Facility		$14.88	$22.95	$34.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $25.74 / $31.44	Professional		$22.78	$25.74	$31.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.34 / $28.43 / $31.52	Facility		$20.34	$28.43	$31.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.18 / $28.43 / $51.87	Professional		$26.18	$28.43	$51.87
United Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $25.74 / $26.88	Professional		$22.78	$25.74	$26.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $19.11 / $19.11	Facility		$19.11	$19.11	$19.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $19.11 / $19.11	Professional		$19.11	$19.11	$19.11