Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $39.04 / $70.20	Facility		$17.80	$39.04	$70.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $12.72 / $44.65	Professional		$10.90	$12.72	$44.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $28.91 / $43.59	Professional		$16.52	$28.91	$43.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $27.71 / $80.02	Facility		$16.52	$27.71	$80.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $17.02 / $45.45	Professional		$9.91	$17.02	$45.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $33.65 / $51.79	Facility		$20.23	$33.65	$51.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $33.65 / $47.33	Professional		$19.84	$33.65	$47.33
United Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $13.85 / $74.51	Professional		$9.91	$13.85	$74.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $16.52 / $16.52	Professional		$13.05	$16.52	$16.52