Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.31 / $30.31 / $92.09	Facility		$30.31	$30.31	$92.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $33.33 / $33.33	Professional		$30.31	$33.33	$33.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $33.75 / $42.19	Professional		$33.75	$33.75	$42.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $5.53 / $50.37	Facility		$3.49	$5.53	$50.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $34.72 / $36.83	Professional		$4.93	$34.72	$36.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $4.09 / $6.09	Facility		$3.49	$4.09	$6.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $5.53 / $37.34	Professional		$3.49	$5.53	$37.34
United Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $87.50 / $87.50	Facility		$87.50	$87.50	$87.50
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $35.76	Professional		$34.72	$34.72	$35.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Facility		$34.72	$34.72	$34.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72