Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.29 / $78.90	Facility		$37.15	$46.29	$78.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $116.77	Professional		$21.23	$21.23	$116.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $22.31 / $27.05	Professional		$21.64	$22.31	$27.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $96.08	Professional		$21.23	$21.23	$96.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $25.48 / $35.88	Facility		$21.23	$25.48	$35.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $33.33	Professional		$21.23	$21.23	$33.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $31.85 / $49.89	Facility		$25.48	$31.85	$49.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $25.48 / $47.23	Professional		$23.62	$25.48	$47.23
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.87	Professional		$21.23	$21.23	$21.87
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Facility		$21.23	$21.23	$21.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23