Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $30.92 / $61.29	Facility		$30.92	$30.92	$61.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $30.92 / $63.80	Professional		$25.59	$30.92	$63.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $25.72 / $30.09	Professional		$24.08	$25.72	$30.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $25.59 / $56.90	Professional		$22.60	$25.59	$56.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $30.92 / $36.36	Facility		$28.34	$30.92	$36.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $48.52	Professional		$27.86	$27.86	$48.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $31.93 / $35.00	Facility		$23.88	$31.93	$35.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $31.19 / $51.89	Professional		$26.99	$31.19	$51.89
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $26.36	Professional		$25.59	$25.59	$26.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $27.86 / $27.86	Facility		$27.86	$27.86	$27.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $27.86	Professional		$27.86	$27.86	$27.86