Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $38.44 / $93.79	Facility		$23.78	$38.44	$93.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $12.52 / $46.28	Professional		$10.73	$12.52	$46.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $29.38 / $36.72	Professional		$18.59	$29.38	$36.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $28.46 / $119.65	Professional		$16.26	$28.46	$119.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $27.26 / $78.81	Facility		$16.26	$27.26	$78.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $16.75 / $43.23	Professional		$9.76	$16.75	$43.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $33.13 / $50.98	Facility		$19.91	$33.13	$50.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $33.13 / $46.28	Professional		$19.53	$33.13	$46.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $13.63 / $39.36	Professional		$9.76	$13.63	$39.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $16.26 / $16.26	Professional		$12.85	$16.26	$16.26