Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $43.53 / $96.22	Facility		$43.53	$43.53	$96.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $43.53	Professional		$34.82	$34.82	$43.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $33.29 / $41.63	Professional		$33.29	$33.29	$41.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $110.76 / $150.00	Professional		$110.76	$110.76	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $43.53 / $58.85	Facility		$1.00	$43.53	$58.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $37.82	Professional		$36.28	$36.28	$37.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $52.47 / $66.78	Facility		$36.03	$52.47	$66.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $37.82 / $37.82	Professional		$36.03	$37.82	$37.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $40.70	Professional		$39.90	$39.90	$40.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $36.28 / $36.28	Facility		$36.28	$36.28	$36.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $36.28	Professional		$36.28	$36.28	$36.28