Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $42.72 / $60.61	Facility		$23.46	$42.72	$60.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $16.91 / $21.96	Professional		$14.49	$16.91	$21.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $39.82 / $49.78	Professional		$25.19	$39.82	$49.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $27.45 / $98.68	Professional		$18.28	$27.45	$98.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $28.33 / $60.96	Facility		$13.45	$28.33	$60.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $21.96 / $55.54	Professional		$6.49	$21.96	$55.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $30.74 / $48.13	Facility		$26.35	$30.74	$48.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $33.71 / $57.32	Professional		$24.41	$33.71	$57.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $13.18 / $50.51	Professional		$6.68	$13.18	$50.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $21.96 / $21.96	Professional		$17.35	$21.96	$21.96