Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $20.75 / $36.52	Facility		$20.75	$20.75	$36.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $18.34 / $20.75	Professional		$16.52	$18.34	$20.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $15.96 / $19.92	Professional		$15.94	$15.96	$19.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $29.90 / $63.91	Professional		$16.52	$29.90	$63.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $18.75 / $24.06	Facility		$16.39	$18.75	$24.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $20.45	Professional		$16.39	$16.39	$20.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $23.60 / $36.97	Facility		$18.75	$23.60	$36.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $18.75 / $21.42	Professional		$17.93	$18.75	$21.42
United Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $25.77 / $25.77	Facility		$25.77	$25.77	$25.77
United Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $16.52 / $16.85	Professional		$14.54	$16.52	$16.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $16.39	Facility		$16.39	$16.39	$16.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $16.39	Professional		$16.39	$16.39	$16.39