Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $53.62	Facility		$24.26	$24.26	$53.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $24.26 / $1,340.00	Professional		$19.41	$24.26	$1,340.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $41.25	Professional		$33.00	$33.00	$41.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $56.90 / $150.00	Professional		$49.55	$56.90	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $23.61 / $24.26	Facility		$1.00	$23.61	$24.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $20.23	Professional		$19.64	$19.64	$20.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $23.56 / $33.31	Facility		$16.30	$23.56	$33.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Professional		$23.61	$23.61	$23.61
United Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $20.04	Professional		$19.64	$19.64	$20.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Facility		$19.64	$19.64	$19.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64