Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $39.60 / $71.20	Facility		$18.05	$39.60	$71.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $12.90 / $45.28	Professional		$11.06	$12.90	$45.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $29.31 / $77.70	Professional		$16.75	$29.31	$77.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $28.09 / $80.19	Facility		$16.75	$28.09	$80.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $17.25 / $46.23	Professional		$10.05	$17.25	$46.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $34.13 / $52.51	Facility		$20.52	$34.13	$52.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $34.13 / $46.55	Professional		$20.11	$34.13	$46.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $11.17 / $40.57	Professional		$10.05	$11.17	$40.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $16.75 / $16.75	Professional		$13.23	$16.75	$16.75