Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $30.21	Professional		$29.91	$29.91	$30.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $31.17 / $39.77	Professional		$24.94	$31.17	$39.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $39.81 / $54.14	Professional		$26.26	$39.81	$54.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $39.77 / $68.58	Facility		$30.70	$39.77	$68.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $30.70 / $55.44	Professional		$30.70	$30.70	$55.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $36.84 / $45.89	Facility		$29.36	$36.84	$45.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $36.84 / $45.89	Professional		$29.36	$36.84	$45.89
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $38.90	Professional		$29.91	$29.91	$38.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $30.70 / $30.70	Facility		$30.70	$30.70	$30.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $30.70 / $30.70	Professional		$24.25	$30.70	$30.70