Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.50 / $97.72	Professional		$10.96	$19.50	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $36.31	Professional		$33.11	$33.88	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $51.29 / $89.13	Facility		$30.20	$51.29	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $69.18 / $109.65	Professional		$12.59	$69.18	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.47 / $10.47	Professional		$8.13	$10.47	$10.47