Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $50.20 / $71.20	Facility		$27.82	$50.20	$71.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $19.87 / $69.73	Professional		$17.03	$19.87	$69.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $47.00 / $58.75	Professional		$29.74	$47.00	$58.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $35.85 / $99.91	Professional		$25.80	$35.85	$99.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $33.54 / $71.91	Facility		$24.97	$33.54	$71.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $25.80 / $64.00	Professional		$11.90	$25.80	$64.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $43.29 / $69.83	Facility		$31.60	$43.29	$69.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $51.61 / $67.34	Professional		$30.96	$51.61	$67.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $15.48 / $53.04	Professional		$11.90	$15.48	$53.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $25.80 / $25.80	Professional		$20.38	$25.80	$25.80