Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $35.85 / $38.95	Facility		$26.32	$35.85	$38.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $26.32 / $399.89	Professional		$17.62	$26.32	$399.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $17.80 / $22.27	Professional		$17.80	$17.80	$22.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $17.62 / $42.48	Professional		$15.25	$17.62	$42.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $20.90 / $35.85	Facility		$17.44	$20.90	$35.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $17.44 / $22.30	Professional		$17.44	$17.44	$22.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $26.13 / $40.94	Facility		$20.74	$26.13	$40.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $20.93 / $22.64	Professional		$19.85	$20.93	$22.64
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $18.14	Professional		$17.62	$17.62	$18.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $17.44 / $17.44	Facility		$17.44	$17.44	$17.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $17.44 / $17.44	Professional		$17.44	$17.44	$17.44