Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $24.22 / $24.22	Facility		$24.22	$24.22	$24.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $25.22 / $33.18	Professional		$17.28	$25.22	$33.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $45.47 / $45.47	Professional		$36.38	$45.47	$45.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $32.74 / $77.84	Professional		$31.43	$32.74	$77.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.93 / $52.89 / $158.61	Facility		$40.93	$52.89	$158.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $45.15 / $63.06	Professional		$17.70	$45.15	$63.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.47 / $56.55	Facility		$45.00	$45.47	$56.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $52.89 / $85.87	Professional		$39.24	$52.89	$85.87
United Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $31.43 / $31.43	Facility		$25.25	$31.43	$31.43
United Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $28.78 / $57.33	Professional		$17.27	$28.78	$57.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $41.34 / $41.34	Facility		$41.34	$41.34	$41.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.34 / $41.34 / $41.34	Professional		$41.34	$41.34	$41.34