Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.61 / $44.61 / $47.13	Facility		$44.61	$44.61	$47.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $12.68 / $13.94	Professional		$12.68	$12.68	$13.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $14.06 / $14.06	Professional		$11.25	$14.06	$14.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.50 / $150.00	Professional		$31.62	$37.50	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $24.20 / $78.90	Facility		$12.91	$24.20	$78.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $48.07 / $56.72	Professional		$16.86	$48.07	$56.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $16.86 / $23.83	Facility		$12.91	$16.86	$23.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $15.48 / $25.95	Professional		$12.91	$15.48	$25.95
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $58.15 / $60.72	Professional		$51.46	$58.15	$60.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Facility		$19.30	$19.30	$19.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30