Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Facility		$17.66	$17.66	$17.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $48.00	Professional		$17.66	$17.66	$48.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $84.55 / $113.91	Professional		$19.50	$84.55	$113.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $47.16 / $50.44	Professional		$45.85	$47.16	$50.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $90.90 / $98.24	Facility		$17.66	$90.90	$98.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $96.08 / $96.08	Professional		$80.79	$96.08	$96.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.08 / $96.08 / $96.08	Facility		$96.08	$96.08	$96.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $83.82 / $96.08	Professional		$83.82	$83.82	$96.08
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $88.88 / $88.88	Professional		$88.88	$88.88	$88.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $80.00 / $80.00	Professional		$63.20	$80.00	$80.00