Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $27.08 / $27.08	Facility		$27.08	$27.08	$27.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $28.19 / $37.09	Professional		$17.28	$28.19	$37.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $53.44 / $154.31	Professional		$42.75	$53.44	$154.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $37.79 / $265.33	Professional		$36.97	$37.79	$265.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $58.44 / $184.63	Facility		$43.19	$58.44	$184.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $48.52 / $72.22	Professional		$19.78	$48.52	$72.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.90 / $60.81	Facility		$48.15	$48.90	$60.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $56.85 / $93.36	Professional		$39.63	$56.85	$93.36
United Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $54.89 / $96.05	Facility		$54.89	$54.89	$96.05
United Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $35.38 / $62.20	Professional		$19.30	$35.38	$62.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $146.00 / $146.00	Facility		$146.00	$146.00	$146.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $146.00 / $146.00	Professional		$146.00	$146.00	$146.00