Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $36.53 / $84.55	Facility		$16.66	$36.53	$84.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $11.90 / $24.49	Professional		$10.19	$11.90	$24.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $28.07 / $35.09	Professional		$17.76	$28.07	$35.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $27.04 / $45.46	Professional		$15.45	$27.04	$45.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $23.89 / $69.13	Facility		$15.45	$23.89	$69.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $15.84 / $39.82	Professional		$9.27	$15.84	$39.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $29.04 / $48.44	Facility		$17.46	$29.04	$48.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $29.04 / $40.85	Professional		$18.54	$29.04	$40.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $11.95 / $64.25	Professional		$9.27	$11.95	$64.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $15.45 / $15.45	Professional		$12.21	$15.45	$15.45