Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Facility		$25.20	$25.20	$25.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $26.92 / $34.52	Professional		$13.62	$26.92	$34.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $52.50	Professional		$42.00	$42.00	$52.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $36.27 / $65.65	Professional		$36.07	$36.27	$65.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $46.60 / $169.74	Facility		$33.74	$46.60	$169.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $37.35 / $60.69	Professional		$18.55	$37.35	$60.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.78 / $40.46 / $49.86	Facility		$39.78	$40.46	$49.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $45.45 / $76.23	Professional		$32.14	$45.45	$76.23
United Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $30.16 / $46.93	Professional		$18.10	$30.16	$46.93
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $32.64 / $32.64	Facility		$32.64	$32.64	$32.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $32.64 / $32.64	Professional		$32.64	$32.64	$32.64