Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $24.00	Professional		$19.57	$19.57	$24.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $23.72 / $23.72	Facility		$23.72	$23.72	$23.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $23.72 / $24.43	Professional		$23.72	$23.72	$24.43
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 $19.57 / $42.07 / $90.00	Facility		$19.57	$42.07	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $77.58 / $77.58	Professional		$29.29	$77.58	$77.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $77.58 / $77.58	Facility		$74.48	$77.58	$77.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $67.63 / $77.58	Professional		$67.63	$67.63	$77.58
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 $64.59 / $64.59 / $64.59	Facility		$64.59	$64.59	$64.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $64.59 / $64.59	Professional		$51.03	$64.59	$64.59