Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.34 / $36.03 / $91.70	Facility		$7.34	$36.03	$91.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $18.52 / $109.12	Professional		$14.26	$18.52	$109.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $33.29 / $41.62	Professional		$21.06	$33.29	$41.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $27.78 / $95.99	Professional		$18.52	$27.78	$95.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $24.08 / $71.95	Facility		$18.52	$24.08	$71.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $18.52 / $42.60	Professional		$11.11	$18.52	$42.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $33.95 / $41.08	Facility		$16.64	$33.95	$41.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $31.08 / $41.08	Professional		$16.64	$31.08	$41.08
United Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $40.36	Professional		$11.11	$11.11	$40.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $18.52 / $18.52	Professional		$14.63	$18.52	$18.52