Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $35.64 / $64.04	Facility		$16.25	$35.64	$64.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $11.61 / $40.75	Professional		$9.94	$11.61	$40.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.42 / $34.27	Professional		$17.35	$27.42	$34.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $26.39 / $106.08	Professional		$15.08	$26.39	$106.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $23.18 / $72.78	Facility		$15.08	$23.18	$72.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $15.53 / $41.01	Professional		$9.05	$15.53	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $30.72 / $47.28	Facility		$18.46	$30.72	$47.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $30.72 / $41.85	Professional		$18.11	$30.72	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.50 / $34.68	Professional		$9.05	$9.50	$34.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $15.08 / $15.08	Professional		$11.91	$15.08	$15.08