Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $42.67 / $142.05	Facility		$19.46	$42.67	$142.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $13.90 / $116.06	Professional		$11.91	$13.90	$116.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $31.59 / $154.41	Professional		$18.05	$31.59	$154.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $30.28 / $87.34	Facility		$18.05	$30.28	$87.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $18.59 / $49.82	Professional		$10.83	$18.59	$49.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $36.78 / $56.59	Facility		$22.11	$36.78	$56.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $36.78 / $51.72	Professional		$21.68	$36.78	$51.72
United Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $15.24 / $81.42	Professional		$10.83	$15.24	$81.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $18.05 / $18.05	Professional		$14.26	$18.05	$18.05