Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $49.49 / $80.03	Facility		$22.57	$49.49	$80.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $16.12 / $56.58	Professional		$13.82	$16.12	$56.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $38.52 / $48.14	Professional		$24.37	$38.52	$48.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $36.65 / $49.67	Professional		$20.94	$36.65	$49.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $31.57 / $90.97	Facility		$20.94	$31.57	$90.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $20.94 / $52.96	Professional		$12.56	$20.94	$52.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $38.40 / $65.65	Facility		$23.07	$38.40	$65.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $38.40 / $54.65	Professional		$25.13	$38.40	$54.65
United Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $15.79 / $52.96	Professional		$12.56	$15.79	$52.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $20.94 / $20.94	Professional		$16.54	$20.94	$20.94