Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $37.59 / $59.97	Facility		$20.83	$37.59	$59.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $14.88 / $52.23	Professional		$12.75	$14.88	$52.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $35.25 / $44.06	Professional		$22.30	$35.25	$44.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $33.81 / $103.61	Professional		$19.32	$33.81	$103.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $31.72 / $60.57	Facility		$19.32	$31.72	$60.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $19.32 / $52.10	Professional		$11.59	$19.32	$52.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $38.53 / $60.57	Facility		$23.17	$38.53	$60.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $32.42 / $52.10	Professional		$9.99	$32.42	$52.10
United Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $15.86 / $44.44	Professional		$11.59	$15.86	$44.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $19.32 / $19.32	Professional		$15.26	$19.32	$19.32