Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $29.92 / $118.58	Facility		$24.52	$29.92	$118.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $12.91 / $26.94	Professional		$11.06	$12.91	$26.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $29.33 / $56.40	Professional		$16.76	$29.33	$56.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $25.27 / $72.78	Facility		$16.76	$25.27	$72.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $21.06 / $42.10	Professional		$16.76	$21.06	$42.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $30.73 / $52.54	Facility		$18.46	$30.73	$52.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $30.73 / $43.74	Professional		$20.11	$30.73	$43.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $34.53	Professional		$16.76	$16.76	$34.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.76 / $16.76	Professional		$13.24	$16.76	$16.76