Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $33.52	Professional		$26.81	$26.81	$33.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $48.18 / $125.18	Professional		$26.62	$48.18	$125.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $37.34 / $46.15	Facility		$22.42	$37.34	$46.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $27.31 / $32.77	Professional		$27.31	$27.31	$32.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $32.77 / $40.52	Facility		$31.57	$32.77	$40.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $32.74 / $43.08	Professional		$22.42	$32.74	$43.08
United Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $27.42	Professional		$26.62	$26.62	$27.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $27.31 / $27.31	Facility		$27.31	$27.31	$27.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $27.31 / $27.31	Professional		$27.31	$27.31	$27.31