Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.65 / $25.65 / $50.40	Facility		$25.65	$25.65	$50.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $25.65 / $45.98	Professional		$19.32	$25.65	$45.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $21.30 / $26.63	Professional		$21.30	$21.30	$26.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $19.32 / $34.99	Professional		$11.38	$19.32	$34.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $24.79 / $27.50	Facility		$8.00	$24.79	$27.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $22.91 / $30.99	Professional		$10.34	$22.91	$30.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $25.09 / $27.50	Facility		$8.00	$25.09	$27.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $23.55 / $40.43	Professional		$8.40	$23.55	$40.43
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.72	Professional		$19.32	$19.32	$19.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91