Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $17.13 / $17.13	Facility		$17.13	$17.13	$17.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $18.30 / $23.47	Professional		$9.26	$18.30	$23.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $35.63	Professional		$28.50	$28.50	$35.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $28.84 / $52.46	Professional		$24.51	$28.84	$52.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $31.68 / $115.41	Facility		$22.94	$31.68	$115.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $25.38 / $41.24	Professional		$12.61	$25.38	$41.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $27.50 / $33.90	Facility		$27.05	$27.50	$33.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $31.03 / $51.83	Professional		$21.85	$31.03	$51.83
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.44 / $34.95	Professional		$12.30	$18.44	$34.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $24.66 / $24.66	Facility		$24.66	$24.66	$24.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $24.66 / $24.66	Professional		$24.66	$24.66	$24.66