Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $37.45 / $53.44	Facility		$36.65	$37.45	$53.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $37.45 / $54.55	Professional		$23.61	$37.45	$54.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $29.25 / $31.03	Professional		$24.83	$29.25	$31.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $23.61 / $113.80	Professional		$12.91	$23.61	$113.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $31.22 / $37.45	Facility		$8.00	$31.22	$37.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $24.29 / $38.34	Professional		$13.12	$24.29	$38.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $29.25 / $36.29	Facility		$8.00	$29.25	$36.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $29.15 / $46.36	Professional		$8.94	$29.15	$46.36
United Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $25.97	Professional		$23.61	$23.61	$25.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $24.29 / $24.29 / $24.29	Facility		$24.29	$24.29	$24.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $24.29 / $24.29	Professional		$24.29	$24.29	$24.29