Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $24.59 / $24.59	Facility		$24.59	$24.59	$24.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $26.27 / $33.69	Professional		$13.28	$26.27	$33.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $40.88 / $51.09	Professional		$40.88	$40.88	$51.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $35.40 / $64.06	Professional		$31.98	$35.40	$64.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.07 / $45.48 / $165.67	Facility		$33.07	$45.48	$165.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $36.39 / $59.22	Professional		$18.10	$36.39	$59.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $39.47 / $48.66	Facility		$38.83	$39.47	$48.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $44.33 / $74.42	Professional		$31.36	$44.33	$74.42
United Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $26.45 / $45.80	Professional		$17.66	$26.45	$45.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Facility		$35.40	$35.40	$35.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40