Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $35.85 / $94.50	Facility		$18.32	$35.85	$94.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.09 / $45.95	Professional		$11.22	$13.09	$45.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $29.75 / $74.51	Professional		$17.00	$29.75	$74.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $28.13 / $81.26	Facility		$17.00	$28.13	$81.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $17.51 / $46.55	Professional		$10.19	$17.51	$46.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $34.18 / $53.30	Facility		$20.55	$34.18	$53.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $34.18 / $48.07	Professional		$20.42	$34.18	$48.07
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.06 / $40.64	Professional		$10.19	$14.06	$40.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $17.00 / $17.00	Professional		$13.43	$17.00	$17.00