Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $30.08 / $67.69	Facility		$30.08	$30.08	$67.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $30.08 / $95.29	Professional		$25.46	$30.08	$95.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.79 / $41.39	Professional		$33.11	$34.79	$41.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $25.46 / $46.08	Professional		$23.91	$25.46	$46.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $30.77 / $45.29	Facility		$26.00	$30.77	$45.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $34.46 / $49.29	Professional		$28.53	$34.46	$49.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $49.29 / $69.22	Facility		$28.63	$49.29	$69.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $37.46 / $49.97	Professional		$22.76	$37.46	$49.97
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $28.52 / $28.52	Professional		$25.46	$28.52	$28.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $30.77 / $30.77	Facility		$30.77	$30.77	$30.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $30.77 / $30.77	Professional		$30.77	$30.77	$30.77