Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $37.51 / $75.55	Facility		$37.51	$37.51	$75.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $37.51 / $64.03	Professional		$34.18	$37.51	$64.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $33.71 / $42.14	Professional		$33.71	$33.71	$42.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $34.18 / $61.87	Professional		$25.40	$34.18	$61.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $34.88 / $43.06	Facility		$11.00	$34.88	$43.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $34.17 / $49.68	Professional		$18.97	$34.17	$49.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.48 / $49.68 / $66.23	Facility		$28.48	$49.68	$66.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $37.76 / $50.40	Professional		$15.86	$37.76	$50.40
United Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Professional		$34.18	$34.18	$34.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $34.17 / $34.17 / $34.17	Facility		$34.17	$34.17	$34.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $34.17 / $34.17	Professional		$34.17	$34.17	$34.17