Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $38.47 / $67.20	Facility		$17.00	$38.47	$67.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $12.14 / $28.17	Professional		$10.40	$12.14	$28.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $28.72 / $35.90	Professional		$18.17	$28.72	$35.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $27.58 / $145.50	Professional		$15.76	$27.58	$145.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $26.42 / $76.39	Facility		$15.76	$26.42	$76.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $16.23 / $42.12	Professional		$9.46	$16.23	$42.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $32.11 / $49.41	Facility		$19.30	$32.11	$49.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $31.52 / $42.12	Professional		$18.91	$31.52	$42.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $13.21 / $39.86	Professional		$9.46	$13.21	$39.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $15.76 / $15.76	Professional		$12.45	$15.76	$15.76