Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $38.02	Professional		$26.30	$30.90	$38.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $31.62 / $33.88	Professional		$30.90	$31.62	$33.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $42.66 / $89.13	Facility		$20.42	$42.66	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.20 / $25.12	Professional		$17.78	$18.20	$25.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $40.74	Professional		$25.12	$37.15	$40.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.79 / $14.79	Professional		$11.48	$14.79	$14.79