Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $42.30 / $73.38	Facility		$19.29	$42.30	$73.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $13.78 / $48.37	Professional		$11.81	$13.78	$48.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $31.33 / $45.53	Professional		$17.89	$31.33	$45.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $29.36 / $84.88	Facility		$17.89	$29.36	$84.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $18.44 / $47.66	Professional		$10.74	$18.44	$47.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.46 / $35.70 / $56.12	Facility		$21.46	$35.70	$56.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $35.04 / $47.66	Professional		$21.48	$35.04	$47.66
United Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $14.47 / $41.17	Professional		$10.74	$14.47	$41.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $17.89 / $17.89	Professional		$14.14	$17.89	$17.89