Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $35.58 / $63.98	Facility		$16.23	$35.58	$63.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $11.59 / $66.00	Professional		$9.93	$11.59	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.42 / $34.27	Professional		$17.35	$27.42	$34.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $26.34 / $76.48	Professional		$15.05	$26.34	$76.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $25.24 / $71.65	Facility		$15.05	$25.24	$71.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $21.03 / $41.01	Professional		$15.05	$21.03	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $30.67 / $47.18	Facility		$18.44	$30.67	$47.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $30.67 / $43.37	Professional		$18.07	$30.67	$43.37
United Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $15.05 / $34.46	Professional		$15.05	$15.05	$34.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $15.05 / $15.05	Professional		$11.89	$15.05	$15.05