Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $29.76 / $76.50	Facility		$24.39	$29.76	$76.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $12.84 / $120.00	Professional		$12.84	$12.84	$120.00
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 $16.67 / $29.17 / $88.57	Professional		$16.67	$29.17	$88.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $27.34 / $80.02	Facility		$16.67	$27.34	$80.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.17 / $45.45	Professional		$10.00	$17.17	$45.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $33.95 / $52.26	Facility		$20.43	$33.95	$52.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $33.95 / $47.80	Professional		$20.02	$33.95	$47.80
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.22 / $38.34	Professional		$10.00	$10.22	$38.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $16.67 / $16.67	Professional		$13.17	$16.67	$16.67