Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $67.16 / $67.16	Facility		$67.16	$67.16	$67.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $67.16 / $84.62	Professional		$45.99	$67.16	$84.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $82.50	Professional		$66.00	$66.00	$82.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $30.63 / $58.44	Professional		$20.35	$30.63	$58.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $45.00 / $79.37	Facility		$30.59	$45.00	$79.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $74.68 / $79.01	Professional		$33.96	$74.68	$79.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $30.59 / $41.44	Facility		$29.20	$30.59	$41.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $34.25 / $50.99	Professional		$22.15	$34.25	$50.99
United Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $74.68 / $79.01	Professional		$66.09	$74.68	$79.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $63.01 / $63.01 / $63.01	Facility		$63.01	$63.01	$63.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $63.01 / $63.01	Professional		$63.01	$63.01	$63.01