Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $29.44 / $34.22	Professional		$26.76	$29.44	$34.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $68.12 / $72.86	Professional		$66.23	$68.12	$72.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $90.00 / $90.00	Facility		$20.00	$90.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $19.70 / $19.70	Professional		$16.55	$19.70	$19.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $19.70 / $19.70	Facility		$18.94	$19.70	$19.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $19.70	Professional		$17.20	$17.20	$19.70
United Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Professional		$16.55	$16.55	$16.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $16.39 / $16.39	Facility		$16.39	$16.39	$16.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $16.39 / $16.39	Professional		$12.96	$16.39	$16.39