Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $31.71 / $48.35	Facility		$18.57	$31.71	$48.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $13.68 / $48.02	Professional		$11.73	$13.68	$48.02
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 $14.46 / $22.21 / $38.24	Professional		$14.46	$22.21	$38.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $21.34 / $45.49	Facility		$10.89	$21.34	$45.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $17.77 / $40.86	Professional		$5.13	$17.77	$40.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $23.10 / $38.95	Facility		$18.46	$23.10	$38.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $24.19 / $41.01	Professional		$16.78	$24.19	$41.01
United Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $10.66 / $32.86	Professional		$4.97	$10.66	$32.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $17.77 / $17.77	Professional		$14.04	$17.77	$17.77