Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $14.38	Facility		$14.05	$14.05	$14.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $101.40	Professional		$14.05	$14.05	$101.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $10.75	Facility		$10.75	$10.75	$10.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $10.75 / $11.07	Professional		$10.75	$10.75	$11.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $26.20 / $28.02	Professional		$25.47	$26.20	$28.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $26.85 / $90.00	Facility		$14.05	$26.85	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $56.21 / $56.21	Professional		$29.29	$56.21	$56.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.97 / $56.21 / $56.21	Facility		$53.97	$56.21	$56.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $49.01 / $56.21	Professional		$49.01	$49.01	$56.21
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Professional		$29.29	$29.29	$29.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Facility		$46.80	$46.80	$46.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $46.80 / $46.80	Professional		$36.97	$46.80	$46.80