Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.50 / $52.50 / $95.95	Facility		$51.50	$52.50	$95.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $52.50 / $102.00	Professional		$43.41	$52.50	$102.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $63.75	Professional		$51.00	$51.00	$63.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $43.41 / $78.56	Professional		$22.29	$43.41	$78.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $52.50 / $65.76	Facility		$18.00	$52.50	$65.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $34.11 / $65.76	Professional		$25.85	$34.11	$65.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $50.22 / $65.76	Facility		$18.00	$50.22	$65.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $50.22 / $75.09	Professional		$18.00	$50.22	$75.09
United Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $44.71	Professional		$43.41	$43.41	$44.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $34.11 / $34.11	Facility		$34.11	$34.11	$34.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $34.11 / $34.11	Professional		$34.11	$34.11	$34.11