Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $49.76 / $80.47	Facility		$22.69	$49.76	$80.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $16.21 / $56.90	Professional		$13.89	$16.21	$56.90
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 $21.05 / $36.84 / $49.95	Professional		$21.05	$36.84	$49.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $31.75 / $90.97	Facility		$21.05	$31.75	$90.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $21.05 / $53.24	Professional		$12.63	$21.05	$53.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.19 / $38.59 / $65.98	Facility		$23.19	$38.59	$65.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $38.59 / $54.94	Professional		$25.26	$38.59	$54.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $15.88 / $48.42	Professional		$12.63	$15.88	$48.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $21.05 / $21.05	Professional		$16.63	$21.05	$21.05