Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $40.43 / $68.31	Facility		$18.44	$40.43	$68.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $13.17 / $110.02	Professional		$11.29	$13.17	$110.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $29.94 / $113.48	Professional		$17.11	$29.94	$113.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.11 / $26.66 / $77.61	Facility		$17.11	$26.66	$77.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $17.11 / $44.66	Professional		$10.27	$17.11	$44.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $32.77 / $53.64	Facility		$19.69	$32.77	$53.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $32.77 / $46.05	Professional		$19.86	$32.77	$46.05
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.72 / $39.35	Professional		$10.27	$10.72	$39.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $17.11 / $17.11	Professional		$13.52	$17.11	$17.11