Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $45.87 / $82.44	Facility		$20.92	$45.87	$82.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $14.94 / $52.44	Professional		$12.80	$14.94	$52.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $35.25 / $44.06	Professional		$22.30	$35.25	$44.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $33.95 / $76.48	Professional		$19.39	$33.95	$76.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $32.53 / $93.40	Facility		$19.39	$32.53	$93.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $19.98 / $53.21	Professional		$11.64	$19.98	$53.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $39.51 / $60.82	Facility		$23.76	$39.51	$60.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $39.51 / $55.57	Professional		$23.30	$39.51	$55.57
United Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $15.84 / $46.98	Professional		$11.64	$15.84	$46.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $19.39 / $19.39	Professional		$15.33	$19.39	$19.39