Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $44.69 / $135.40	Facility		$22.97	$44.69	$135.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $17.69 / $62.09	Professional		$15.16	$17.69	$62.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $41.78 / $52.22	Professional		$26.43	$41.78	$52.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $28.71 / $50.57	Professional		$14.46	$28.71	$50.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $27.59 / $58.80	Facility		$11.74	$27.59	$58.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $22.97 / $50.34	Professional		$4.97	$22.97	$50.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $29.98 / $50.34	Facility		$21.08	$29.98	$50.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $38.00 / $50.34	Professional		$23.89	$38.00	$50.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $13.78 / $27.56	Professional		$5.13	$13.78	$27.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $22.97 / $22.97	Professional		$18.14	$22.97	$22.97