Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $34.82 / $106.00	Facility		$34.82	$34.82	$106.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $34.82 / $62.36	Professional		$28.68	$34.82	$62.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $29.06 / $36.33	Professional		$29.06	$29.06	$36.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $43.28 / $62.94	Professional		$28.68	$43.28	$62.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $34.22 / $43.93	Facility		$28.52	$34.22	$43.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $42.80	Professional		$28.52	$28.52	$42.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $42.80 / $67.05	Facility		$31.24	$42.80	$67.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $33.85 / $60.59	Professional		$28.69	$33.85	$60.59
United Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $29.25	Professional		$28.68	$28.68	$29.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Facility		$28.52	$28.52	$28.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52