Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $35.06 / $43.65	Facility		$35.06	$35.06	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $40.56 / $111.26	Professional		$30.35	$40.56	$111.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $29.61 / $36.09	Professional		$28.88	$29.61	$36.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $38.86 / $54.12	Professional		$28.78	$38.86	$54.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $36.17 / $49.20	Facility		$33.65	$36.17	$49.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $34.79 / $46.02	Professional		$28.44	$34.79	$46.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $37.25 / $50.98	Facility		$24.36	$37.25	$50.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $37.25 / $48.73	Professional		$23.45	$37.25	$48.73
United Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $33.89 / $35.70	Professional		$29.99	$33.89	$35.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $29.59 / $29.59	Facility		$29.59	$29.59	$29.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $29.59 / $29.59	Professional		$29.59	$29.59	$29.59