Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $24.39	Professional		$22.95	$22.95	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $21.56 / $24.39	Professional		$10.46	$21.56	$24.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $35.24 / $150.00	Professional		$19.32	$35.24	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $28.69 / $38.79	Facility		$18.59	$28.69	$38.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $28.69 / $57.38	Professional		$28.54	$28.69	$57.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $23.25 / $28.54	Facility		$19.47	$23.25	$28.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $23.25 / $28.54	Professional		$10.46	$23.25	$28.54
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $31.56	Professional		$28.69	$28.69	$31.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Facility		$28.68	$28.68	$28.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $28.68 / $28.68	Professional		$22.66	$28.68	$28.68