Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $42.67 / $76.72	Facility		$19.46	$42.67	$76.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $13.90 / $48.79	Professional		$11.91	$13.90	$48.79
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 / $27.08 / $159.13	Professional		$18.05	$27.08	$159.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $24.25 / $85.74	Facility		$18.05	$24.25	$85.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $18.05 / $48.85	Professional		$10.83	$18.05	$48.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $36.78 / $51.71	Facility		$22.11	$36.78	$51.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $36.78 / $50.63	Professional		$21.66	$36.78	$50.63
United Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $14.74 / $41.52	Professional		$10.83	$14.74	$41.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $18.05 / $18.05	Professional		$14.26	$18.05	$18.05