Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $43.42 / $152.93	Facility		$23.50	$43.42	$152.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $21.14 / $102.00	Professional		$11.70	$21.14	$102.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $29.38 / $36.72	Professional		$18.59	$29.38	$36.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $28.11 / $98.51	Professional		$16.05	$28.11	$98.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $26.93 / $77.61	Facility		$16.05	$26.93	$77.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $16.54 / $43.23	Professional		$9.64	$16.54	$43.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $32.72 / $50.35	Facility		$19.67	$32.72	$50.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $32.72 / $46.01	Professional		$19.28	$32.72	$46.01
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $36.94	Professional		$9.64	$9.64	$36.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $16.05 / $16.05	Professional		$12.69	$16.05	$16.05