Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $61.47 / $85.98	Facility		$31.60	$61.47	$85.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $20.86	Professional		$20.86	$20.86	$20.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $57.45 / $71.81	Professional		$36.34	$57.45	$71.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $45.82 / $57.20	Professional		$26.86	$45.82	$57.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $40.84 / $84.37	Facility		$31.60	$40.84	$84.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $18.96 / $72.68	Professional		$18.96	$18.96	$72.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $55.30 / $69.26	Facility		$37.92	$55.30	$69.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $55.30 / $69.26	Professional		$37.92	$55.30	$69.26
United Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $18.96 / $68.89	Professional		$18.96	$18.96	$68.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $31.60 / $31.60	Professional		$24.96	$31.60	$31.60