Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $37.58 / $63.33	Facility		$17.14	$37.58	$63.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $12.24 / $42.96	Professional		$10.49	$12.24	$42.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $28.72 / $35.90	Professional		$18.17	$28.72	$35.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $27.83 / $75.78	Professional		$15.90	$27.83	$75.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $25.00 / $71.56	Facility		$15.90	$25.00	$71.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $16.38 / $41.50	Professional		$9.53	$16.38	$41.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $30.37 / $49.85	Facility		$18.25	$30.37	$49.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $30.37 / $42.71	Professional		$19.07	$30.37	$42.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $12.50 / $36.57	Professional		$9.53	$12.50	$36.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $15.90 / $15.90	Professional		$12.56	$15.90	$15.90