Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $20.52 / $35.81	Facility		$20.52	$20.52	$35.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $20.52 / $42.73	Professional		$16.20	$20.52	$42.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $20.48	Professional		$16.39	$16.39	$20.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $23.22 / $30.72	Professional		$16.20	$23.22	$30.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $19.72 / $24.76	Facility		$18.25	$19.72	$24.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $24.65	Professional		$16.20	$16.20	$24.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $19.44 / $22.38	Facility		$18.25	$19.44	$22.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $19.29 / $32.69	Professional		$17.52	$19.29	$32.69
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.69	Professional		$16.20	$16.20	$16.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Facility		$16.20	$16.20	$16.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20