Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $46.36 / $71.66	Facility		$21.14	$46.36	$71.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $15.10 / $38.47	Professional		$12.94	$15.10	$38.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $35.90 / $44.88	Professional		$22.72	$35.90	$44.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $34.32 / $114.93	Professional		$19.61	$34.32	$114.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $28.28 / $81.26	Facility		$19.61	$28.28	$81.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $19.61 / $48.59	Professional		$11.77	$19.61	$48.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $35.97 / $59.74	Facility		$20.66	$35.97	$59.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $35.97 / $51.18	Professional		$23.53	$35.97	$51.18
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $11.77 / $45.10	Professional		$11.77	$11.77	$45.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.61 / $19.61	Professional		$15.49	$19.61	$19.61