Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $30.71 / $46.83	Facility		$17.21	$30.71	$46.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $31.33 / $39.17	Professional		$20.65	$31.33	$39.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $25.82 / $87.95	Professional		$18.93	$25.82	$87.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $22.21 / $44.06	Facility		$17.21	$22.21	$44.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $17.21 / $64.67	Professional		$10.33	$17.21	$64.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $26.14 / $37.72	Facility		$20.65	$26.14	$37.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $31.48 / $44.92	Professional		$20.65	$31.48	$44.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.33 / $35.24	Professional		$10.33	$10.33	$35.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.21 / $17.21	Professional		$17.21	$17.21	$17.21