Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $34.26	Professional		$33.92	$33.92	$34.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $40.70 / $43.22	Professional		$34.58	$40.70	$43.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $35.10 / $61.40	Professional		$27.14	$35.10	$61.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $40.81 / $66.48	Facility		$33.92	$40.81	$66.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $61.25	Professional		$33.92	$33.92	$61.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $40.70 / $45.77	Facility		$34.18	$40.70	$45.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $40.70 / $45.77	Professional		$35.13	$40.70	$45.77
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $37.31	Professional		$33.92	$33.92	$37.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $33.92 / $33.92	Professional		$26.80	$33.92	$33.92