Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $40.65 / $73.09	Facility		$18.54	$40.65	$73.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $13.24 / $46.47	Professional		$11.35	$13.24	$46.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $30.10 / $120.88	Professional		$17.20	$30.10	$120.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $27.34 / $82.46	Facility		$17.20	$27.34	$82.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $17.72 / $47.47	Professional		$10.32	$17.72	$47.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $35.06 / $53.92	Facility		$21.07	$35.06	$53.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $35.06 / $49.29	Professional		$20.66	$35.06	$49.29
United Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $14.05 / $41.68	Professional		$10.32	$14.05	$41.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $17.20 / $17.20	Professional		$13.59	$17.20	$17.20