Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $37.76 / $40.11	Professional		$37.76	$37.76	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.33 / $40.11	Professional		$6.45	$7.33	$40.11
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 $37.76 / $47.20 / $66.08	Facility		$37.76	$47.20	$66.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $78.66	Professional		$39.33	$39.33	$78.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $7.33 / $7.33	Facility		$7.33	$7.33	$7.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $7.33 / $7.33	Professional		$7.33	$7.33	$7.33
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $43.26	Professional		$39.33	$39.33	$43.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $6.10 / $6.10 / $6.10	Facility		$6.10	$6.10	$6.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $6.10 / $6.10	Professional		$4.82	$6.10	$6.10