Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $36.31 / $50.78	Facility		$18.66	$36.31	$50.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $14.37 / $14.37	Professional		$12.32	$14.37	$14.37
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 $15.86 / $27.06 / $33.77	Professional		$15.86	$27.06	$33.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $24.26 / $72.89	Facility		$18.66	$24.26	$72.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $11.20 / $48.16	Professional		$11.20	$11.20	$48.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $32.65 / $51.33	Facility		$22.41	$32.65	$51.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.65 / $48.16	Professional		$22.39	$32.65	$48.16
United Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $11.20 / $40.68	Professional		$11.20	$11.20	$40.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $18.66 / $18.66	Professional		$14.74	$18.66	$18.66