Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $47.44 / $73.36	Facility		$12.24	$47.44	$73.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $20.47 / $71.84	Professional		$17.54	$20.47	$71.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $48.31 / $60.38	Professional		$30.56	$48.31	$60.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $33.22 / $70.31	Professional		$7.11	$33.22	$70.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.52 / $34.31 / $72.04	Facility		$5.52	$34.31	$72.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $26.58 / $66.06	Professional		$2.52	$26.58	$66.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $37.21 / $59.07	Facility		$15.23	$37.21	$59.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $48.70 / $69.37	Professional		$31.90	$48.70	$69.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $15.95 / $54.63	Professional		$2.52	$15.95	$54.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $26.58 / $26.58	Professional		$21.00	$26.58	$26.58