Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $33.49 / $56.58	Facility		$20.23	$33.49	$56.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $14.45 / $50.72	Professional		$12.39	$14.45	$50.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $33.95 / $42.43	Professional		$21.48	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $32.54 / $50.57	Professional		$18.77	$32.54	$50.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $24.22 / $64.27	Facility		$18.77	$24.22	$64.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $18.77 / $43.17	Professional		$11.16	$18.77	$43.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $34.00 / $48.55	Facility		$16.30	$34.00	$48.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $32.07 / $48.55	Professional		$20.13	$32.07	$48.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $11.26 / $37.18	Professional		$11.16	$11.26	$37.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $18.77 / $18.77	Professional		$14.83	$18.77	$18.77