Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $40.79 / $59.55	Facility		$40.79	$40.79	$59.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $40.79 / $90.70	Professional		$25.27	$40.79	$90.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $34.85 / $36.97	Professional		$29.59	$34.85	$36.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $25.27 / $77.12	Professional		$20.22	$25.27	$77.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $36.57 / $44.39	Facility		$12.00	$36.57	$44.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $27.07 / $45.72	Professional		$23.01	$27.07	$45.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $34.85 / $44.39	Facility		$12.00	$34.85	$44.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $34.85 / $58.89	Professional		$19.64	$34.85	$58.89
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $26.03	Professional		$25.27	$25.27	$26.03
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $27.07 / $27.07	Facility		$27.07	$27.07	$27.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $27.07 / $27.07	Professional		$27.07	$27.07	$27.07