Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $35.79 / $50.08	Facility		$18.39	$35.79	$50.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $14.17 / $14.17	Professional		$12.14	$14.17	$14.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $33.29 / $41.62	Professional		$21.06	$33.29	$41.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $26.68 / $33.29	Professional		$15.64	$26.68	$33.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $23.74 / $70.63	Facility		$18.39	$23.74	$70.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $43.06	Professional		$11.04	$11.04	$43.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $32.20 / $43.06	Facility		$22.10	$32.20	$43.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $34.29 / $43.06	Professional		$22.08	$34.29	$43.06
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $37.67	Professional		$11.04	$11.04	$37.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $18.39 / $18.39	Professional		$14.54	$18.39	$18.39