Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $35.19 / $49.93	Facility		$18.09	$35.19	$49.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $13.93 / $13.93	Professional		$11.94	$13.93	$13.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $26.23 / $32.74	Professional		$15.38	$26.23	$32.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $23.35 / $67.98	Facility		$18.09	$23.35	$67.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $10.85 / $45.75	Professional		$10.85	$10.85	$45.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.72 / $33.08 / $40.82	Facility		$21.72	$33.08	$40.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $37.27 / $47.21	Professional		$21.71	$37.27	$47.21
United Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $10.85 / $37.04	Professional		$10.85	$10.85	$37.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $18.09 / $18.09	Professional		$14.29	$18.09	$18.09