Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $20.17	Professional		$19.97	$19.97	$20.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $25.52 / $27.38	Professional		$21.90	$25.52	$27.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $36.15	Professional		$19.97	$19.97	$36.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $26.62 / $35.24	Facility		$20.85	$26.62	$35.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $20.85 / $41.70	Professional		$20.85	$20.85	$41.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $25.79 / $30.83	Facility		$23.43	$25.79	$30.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $25.79 / $30.83	Professional		$23.67	$25.79	$30.83
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $25.98	Professional		$19.97	$19.97	$25.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $20.85 / $20.85	Facility		$20.85	$20.85	$20.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $20.85 / $20.85	Professional		$16.47	$20.85	$20.85