Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.36 / $28.36	Facility		$28.36	$28.36	$28.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.36 / $28.36 / $50.00	Professional		$28.36	$28.36	$50.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Facility		$12.60	$12.60	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $12.60 / $33.51	Professional		$12.60	$12.60	$33.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $41.17 / $90.00	Facility		$28.36	$41.17	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $17.66 / $36.28	Professional		$13.25	$17.66	$36.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $38.43 / $38.43	Facility		$36.90	$38.43	$38.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $33.51 / $38.43	Professional		$33.51	$33.51	$38.43
United Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $24.73	Professional		$13.25	$13.25	$24.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $32.00	Facility		$32.00	$32.00	$32.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $32.00 / $32.00	Professional		$25.28	$32.00	$32.00