Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $41.79 / $125.13	Facility		$25.04	$41.79	$125.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $13.18 / $15.70	Professional		$11.30	$13.18	$15.70
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 $17.12 / $22.24 / $82.09	Professional		$17.12	$22.24	$82.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $22.26 / $47.66	Facility		$15.37	$22.26	$47.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $17.12 / $43.30	Professional		$7.39	$17.12	$43.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $28.73 / $44.67	Facility		$20.98	$28.73	$44.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $31.40 / $44.68	Professional		$20.54	$31.40	$44.68
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.27 / $35.21	Professional		$7.19	$10.27	$35.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $17.12 / $17.12	Professional		$13.52	$17.12	$17.12