Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $39.20 / $70.51	Facility		$17.88	$39.20	$70.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $12.77 / $44.82	Professional		$10.95	$12.77	$44.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $29.03 / $90.04	Professional		$16.59	$29.03	$90.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $27.82 / $79.02	Facility		$16.59	$27.82	$79.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $17.09 / $45.45	Professional		$9.94	$17.09	$45.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $33.81 / $52.01	Facility		$20.32	$33.81	$52.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $33.81 / $46.39	Professional		$19.93	$33.81	$46.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $13.91 / $38.15	Professional		$9.94	$13.91	$38.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $16.59 / $16.59	Professional		$13.11	$16.59	$16.59