Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $53.54 / $96.24	Facility		$24.42	$53.54	$96.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $17.44 / $61.21	Professional		$14.95	$17.44	$61.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $41.13 / $51.41	Professional		$26.02	$41.13	$51.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $39.64 / $102.94	Professional		$22.65	$39.64	$102.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $37.97 / $109.14	Facility		$22.65	$37.97	$109.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $23.33 / $62.08	Professional		$13.59	$23.33	$62.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.74 / $46.17 / $71.01	Facility		$27.74	$46.17	$71.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $46.12 / $62.08	Professional		$27.18	$46.12	$62.08
United Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $18.98 / $102.14	Professional		$13.59	$18.98	$102.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $22.65 / $22.65	Professional		$17.89	$22.65	$22.65