Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $42.17 / $59.81	Facility		$23.37	$42.17	$59.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $16.69 / $58.58	Professional		$14.30	$16.69	$58.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $39.17 / $48.96	Professional		$24.78	$39.17	$48.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $32.51 / $116.20	Professional		$21.67	$32.51	$116.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $26.22 / $63.01	Facility		$17.57	$26.22	$63.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $19.50 / $49.84	Professional		$10.85	$19.50	$49.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $36.36 / $47.48	Facility		$16.23	$36.36	$47.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $36.36 / $55.26	Professional		$26.00	$36.36	$55.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $13.00 / $47.24	Professional		$10.85	$13.00	$47.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $21.67 / $21.67	Professional		$17.12	$21.67	$21.67