Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $32.74 / $32.74	Facility		$32.74	$32.74	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $32.74 / $33.72	Professional		$32.74	$32.74	$33.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $78.59 / $84.07	Professional		$76.42	$78.59	$84.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $42.50 / $100.00	Facility		$25.00	$42.50	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $77.65	Professional		$0.72	$0.72	$77.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.72 / $0.72 / $88.71	Facility		$0.72	$0.72	$88.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $80.56 / $86.32	Professional		$0.72	$80.56	$86.32
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $51.20 / $84.10	Professional		$51.20	$51.20	$84.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Facility		$0.60	$0.60	$0.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.60 / $0.60	Professional		$0.47	$0.60	$0.60