Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $52.17 / $69.92	Facility		$25.44	$52.17	$69.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $18.17 / $63.78	Professional		$15.58	$18.17	$63.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $43.08 / $53.86	Professional		$27.26	$43.08	$53.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $40.25 / $256.16	Professional		$23.60	$40.25	$256.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $30.45 / $80.02	Facility		$23.60	$30.45	$80.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $23.60 / $54.28	Professional		$13.80	$23.60	$54.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $42.00 / $58.52	Facility		$20.14	$42.00	$58.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $39.60 / $58.52	Professional		$24.54	$39.60	$58.52
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.16 / $51.45	Professional		$13.80	$14.16	$51.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $23.60 / $23.60	Professional		$18.64	$23.60	$23.60