Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $36.26 / $50.71	Facility		$18.63	$36.26	$50.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.35 / $14.35	Professional		$12.30	$14.35	$14.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $33.95 / $42.43	Professional		$21.48	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $27.01 / $33.72	Professional		$15.84	$27.01	$33.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $24.04 / $70.01	Facility		$18.63	$24.04	$70.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $47.12	Professional		$11.18	$11.18	$47.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $34.07 / $40.82	Facility		$22.37	$34.07	$40.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $36.65 / $48.62	Professional		$22.36	$36.65	$48.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $38.14	Professional		$11.18	$11.18	$38.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $18.63 / $18.63	Professional		$14.72	$18.63	$18.63