Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $25.28 / $40.45	Facility		$25.28	$25.28	$40.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $20.32 / $27.49	Professional		$18.30	$20.32	$27.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $18.34 / $22.92	Professional		$18.34	$18.34	$22.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $25.68 / $48.88	Professional		$18.30	$25.68	$48.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $21.60 / $27.73	Facility		$18.21	$21.60	$27.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $18.21 / $24.12	Professional		$18.21	$18.21	$24.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $27.00 / $42.30	Facility		$21.60	$27.00	$42.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $21.85 / $47.01	Professional		$20.52	$21.85	$47.01
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.85	Professional		$18.30	$18.30	$18.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $18.21 / $18.21	Facility		$18.21	$18.21	$18.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $18.21 / $18.21	Professional		$18.21	$18.21	$18.21