Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $43.43 / $118.80	Facility		$21.44	$43.43	$118.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.35 / $115.80	Professional		$12.30	$14.35	$115.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $33.95 / $42.43	Professional		$21.48	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $32.61 / $108.62	Professional		$23.30	$32.61	$108.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $24.23 / $65.48	Facility		$18.64	$24.23	$65.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $18.64 / $42.87	Professional		$11.18	$18.64	$42.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $34.18 / $48.55	Facility		$16.78	$34.18	$48.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $32.99 / $48.55	Professional		$20.71	$32.99	$48.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $40.64	Professional		$11.18	$11.18	$40.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $18.64 / $18.64	Professional		$14.73	$18.64	$18.64