Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $42.59 / $45.25	Professional		$42.59	$42.59	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $36.00 / $45.25	Professional		$31.68	$36.00	$45.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $53.24 / $74.53	Facility		$42.59	$53.24	$74.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $136.72	Professional		$44.36	$44.36	$136.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Facility		$36.00	$36.00	$36.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Professional		$36.00	$36.00	$36.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $48.80	Professional		$44.36	$44.36	$48.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $29.98	Facility		$29.98	$29.98	$29.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $29.98 / $29.98	Professional		$23.68	$29.98	$29.98