Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $54.76 / $84.70	Facility		$39.88	$54.76	$84.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $22.79 / $24.22	Professional		$22.79	$22.79	$24.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $11.13 / $13.13	Professional		$10.50	$11.13	$13.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $10.78 / $150.00	Professional		$9.51	$10.78	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $28.49 / $37.60	Facility		$13.07	$28.49	$37.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $103.73 / $103.73	Professional		$9.39	$103.73	$103.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Facility		$10.75	$10.75	$10.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $10.75 / $12.61	Professional		$9.39	$10.75	$12.61
United Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $4.70 / $4.70	Professional		$4.70	$4.70	$4.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Facility		$10.50	$10.50	$10.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $10.50 / $10.50	Professional		$8.30	$10.50	$10.50