Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $32.56 / $32.56	Professional		$19.30	$32.56	$32.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $24.49 / $27.88	Professional		$22.31	$24.49	$27.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $25.58 / $71.23	Professional		$15.63	$25.58	$71.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $40.00 / $55.18	Facility		$6.41	$40.00	$55.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $32.96 / $50.71	Professional		$20.21	$32.96	$50.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $36.36 / $55.18	Facility		$24.49	$36.36	$55.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $36.36 / $55.18	Professional		$20.91	$36.36	$55.18
United Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $26.72 / $47.66	Professional		$20.21	$26.72	$47.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Professional		$46.80	$46.80	$46.80