Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $39.21 / $78.59	Facility		$21.73	$39.21	$78.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $15.52 / $100.80	Professional		$13.30	$15.52	$100.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $36.56 / $45.70	Professional		$23.13	$36.56	$45.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $30.23 / $77.04	Professional		$20.14	$30.23	$77.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $26.20 / $88.18	Facility		$20.14	$26.20	$88.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $20.14 / $51.66	Professional		$12.09	$20.14	$51.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $37.68 / $52.97	Facility		$22.65	$37.68	$52.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $37.68 / $52.59	Professional		$24.18	$37.68	$52.59
United Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.33 / $46.35	Professional		$12.09	$12.33	$46.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $20.14 / $20.14	Professional		$15.92	$20.14	$20.14