Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $31.50 / $47.12	Professional		$20.00	$31.50	$47.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $33.47 / $35.63	Professional		$28.50	$33.47	$35.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $25.00 / $45.25	Professional		$21.25	$25.00	$45.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $39.90 / $122.12	Facility		$18.71	$39.90	$122.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $43.20 / $140.47	Professional		$28.73	$43.20	$140.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $33.47 / $52.99	Facility		$27.97	$33.47	$52.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $37.56 / $57.72	Professional		$27.97	$37.56	$57.72
United Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $43.20 / $73.44	Professional		$27.73	$43.20	$73.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00