Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Facility		$24.99	$24.99	$24.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.69 / $34.22	Professional		$13.49	$26.69	$34.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $41.63 / $52.03	Professional		$41.63	$41.63	$52.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $42.02 / $212.64	Professional		$35.71	$42.02	$212.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $46.21 / $168.29	Facility		$33.74	$46.21	$168.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $36.97 / $60.14	Professional		$18.39	$36.97	$60.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.44 / $40.10 / $49.41	Facility		$39.44	$40.10	$49.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $45.45 / $75.58	Professional		$31.86	$45.45	$75.58
United Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $26.87 / $46.52	Professional		$17.94	$26.87	$46.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $35.96	Facility		$35.96	$35.96	$35.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $35.96 / $35.96	Professional		$35.96	$35.96	$35.96