Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $68.29 / $96.90	Facility		$37.84	$68.29	$96.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $27.03 / $94.88	Professional		$23.17	$27.03	$94.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $63.97 / $79.97	Professional		$40.47	$63.97	$79.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $50.91 / $125.04	Professional		$35.11	$50.91	$125.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.95 / $41.09 / $89.00	Facility		$23.95	$41.09	$89.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $25.41 / $74.42	Professional		$11.12	$25.41	$74.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $45.64 / $76.95	Facility		$20.58	$45.64	$76.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $45.97 / $76.95	Professional		$25.41	$45.97	$76.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $21.07 / $59.83	Professional		$11.12	$21.07	$59.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $35.11 / $35.11	Professional		$27.74	$35.11	$35.11