Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $38.38 / $40.89	Facility		$26.22	$38.38	$40.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $38.38	Professional		$18.50	$18.50	$38.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.88 / $23.58	Professional		$18.86	$18.88	$23.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $23.41 / $95.71	Professional		$18.50	$23.41	$95.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $21.60 / $38.38	Facility		$17.37	$21.60	$38.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $19.11 / $27.00	Professional		$17.37	$19.11	$27.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $27.21 / $42.30	Facility		$21.60	$27.21	$42.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $26.06 / $27.75	Professional		$21.46	$26.06	$27.75
United Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $19.43 / $22.02	Professional		$18.50	$19.43	$22.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $19.01 / $19.01	Facility		$19.01	$19.01	$19.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $19.01 / $19.01	Professional		$19.01	$19.01	$19.01