Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $63.10	Professional		$8.51	$8.51	$63.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $275.42	Professional		$151.36	$199.53	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.89 / $60.26	Facility		$3.02	$3.89	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $52.48	Professional		$44.67	$45.71	$52.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $52.48	Professional		$45.71	$45.71	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65