Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.93 / $50.29 / $81.28	Facility		$22.93	$50.29	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $16.38 / $57.49	Professional		$14.04	$16.38	$57.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $38.52 / $48.14	Professional		$24.37	$38.52	$48.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $37.22 / $50.46	Professional		$21.27	$37.22	$50.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $29.49 / $92.16	Facility		$21.27	$29.49	$92.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $21.27 / $53.79	Professional		$12.76	$21.27	$53.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $39.01 / $66.68	Facility		$23.43	$39.01	$66.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $38.29 / $55.51	Professional		$24.58	$38.29	$55.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $48.92	Professional		$12.76	$12.76	$48.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $21.27 / $21.27	Professional		$16.80	$21.27	$21.27