Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $40.98 / $73.69	Facility		$18.69	$40.98	$73.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $13.35 / $46.86	Professional		$11.44	$13.35	$46.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $31.99 / $39.97	Professional		$20.23	$31.99	$39.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $30.35 / $96.21	Professional		$17.34	$30.35	$96.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $29.09 / $83.70	Facility		$17.34	$29.09	$83.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $17.86 / $47.66	Professional		$10.40	$17.86	$47.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $35.31 / $54.36	Facility		$21.24	$35.31	$54.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $35.31 / $49.69	Professional		$20.82	$35.31	$49.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $14.54 / $39.88	Professional		$10.40	$14.54	$39.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $17.34 / $17.34	Professional		$13.70	$17.34	$17.34