Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $50.78 / $91.30	Facility		$23.16	$50.78	$91.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $16.54 / $58.06	Professional		$14.18	$16.54	$58.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $38.52 / $48.14	Professional		$24.37	$38.52	$48.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $37.59 / $83.88	Professional		$21.48	$37.59	$83.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $36.01 / $103.12	Facility		$21.48	$36.01	$103.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $22.12 / $59.28	Professional		$12.89	$22.12	$59.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $43.76 / $67.34	Facility		$26.32	$43.76	$67.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $43.76 / $61.55	Professional		$25.80	$43.76	$61.55
United Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $18.01 / $96.85	Professional		$12.89	$18.01	$96.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $21.48 / $21.48	Professional		$16.97	$21.48	$21.48