Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $36.13 / $63.98	Facility		$16.48	$36.13	$63.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $11.77 / $19.80	Professional		$10.09	$11.77	$19.80
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 $15.29 / $22.94 / $78.30	Professional		$15.29	$22.94	$78.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $23.18 / $71.73	Facility		$15.29	$23.18	$71.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $21.03 / $41.01	Professional		$15.29	$21.03	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $30.67 / $47.30	Facility		$18.44	$30.67	$47.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $30.67 / $43.37	Professional		$18.36	$30.67	$43.37
United Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $67.87	Professional		$15.29	$15.29	$67.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $15.29 / $15.29	Professional		$12.08	$15.29	$15.29