Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $41.81 / $75.19	Facility		$19.07	$41.81	$75.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $13.62 / $47.81	Professional		$11.68	$13.62	$47.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $30.96 / $81.41	Professional		$17.69	$30.96	$81.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $29.66 / $84.88	Facility		$17.69	$29.66	$84.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $18.22 / $48.77	Professional		$10.61	$18.22	$48.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $36.04 / $55.46	Facility		$21.67	$36.04	$55.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $36.04 / $50.69	Professional		$21.24	$36.04	$50.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $14.83 / $42.86	Professional		$10.61	$14.83	$42.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $17.69 / $17.69	Professional		$13.98	$17.69	$17.69