Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $52.98 / $142.10	Facility		$25.48	$52.98	$142.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $12.87 / $29.38	Professional		$11.03	$12.87	$29.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $29.24 / $93.36	Professional		$16.71	$29.24	$93.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $28.02 / $81.26	Facility		$16.71	$28.02	$81.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $17.21 / $46.12	Professional		$10.02	$17.21	$46.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $34.04 / $52.39	Facility		$20.47	$34.04	$52.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $34.04 / $46.55	Professional		$20.07	$34.04	$46.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $38.43	Professional		$10.02	$10.02	$38.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $16.71 / $16.71	Professional		$13.20	$16.71	$16.71