Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $67.55 / $71.36	Facility		$34.11	$67.55	$71.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $19.20 / $21.12	Professional		$19.20	$19.20	$21.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $18.75 / $23.44	Professional		$18.75	$18.75	$23.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $37.50 / $150.00	Professional		$31.14	$37.50	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $22.30 / $48.32	Facility		$14.57	$22.30	$48.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $25.74 / $31.13	Professional		$19.91	$25.74	$31.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $21.50 / $26.88	Facility		$14.57	$21.50	$26.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $21.22 / $29.22	Professional		$13.85	$21.22	$29.22
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $29.09 / $30.37	Professional		$25.74	$29.09	$30.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $19.96 / $19.96	Facility		$19.96	$19.96	$19.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.96 / $19.96 / $19.96	Professional		$19.96	$19.96	$19.96