Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $32.00 / $38.44	Professional		$29.90	$32.00	$38.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $31.44 / $33.63	Professional		$30.57	$31.44	$33.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $55.75 / $90.00	Facility		$24.51	$55.75	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $25.25	Professional		$17.66	$17.66	$25.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Facility		$17.66	$17.66	$17.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $18.85 / $18.85	Professional		$17.66	$18.85	$18.85
United Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Professional		$25.25	$25.25	$25.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $14.70 / $14.70	Facility		$14.70	$14.70	$14.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $14.70 / $14.70	Professional		$11.61	$14.70	$14.70