Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.71 / $39.36 / $77.61	Facility		$23.71	$39.36	$77.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $22.06 / $33.29	Professional		$11.23	$22.06	$33.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $21.68 / $27.09	Professional		$21.68	$21.68	$27.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $20.72 / $39.64	Professional		$6.65	$20.72	$39.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $24.25 / $37.28	Facility		$6.72	$24.25	$37.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $22.06 / $32.72	Professional		$9.00	$22.06	$32.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $26.19 / $28.67	Facility		$9.00	$26.19	$28.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $24.88 / $33.82	Professional		$5.70	$24.88	$33.82
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $22.79	Professional		$20.72	$20.72	$22.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $22.06 / $22.06	Facility		$22.06	$22.06	$22.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $22.06 / $22.06	Professional		$22.06	$22.06	$22.06