Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $121.32	Facility		$45.00	$45.00	$121.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $45.00 / $54.40	Professional		$36.00	$45.00	$54.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.88 / $1.88	Professional		$1.50	$1.88	$1.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $11.38 / $56.64	Professional		$1.03	$11.38	$56.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $4.36 / $45.86	Facility		$1.00	$4.36	$45.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $37.50 / $38.63	Professional		$1.43	$37.50	$38.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3.35 / $4.92	Facility		$1.00	$3.35	$4.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $3.65 / $6.69	Professional		$1.10	$3.65	$6.69
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $38.63	Professional		$37.50	$37.50	$38.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $38.86 / $38.86	Facility		$38.86	$38.86	$38.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $38.86 / $38.86	Professional		$38.86	$38.86	$38.86