Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $31.78 / $55.41	Facility		$19.32	$31.78	$55.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $15.68 / $55.04	Professional		$13.44	$15.68	$55.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $37.21 / $46.51	Professional		$23.54	$37.21	$46.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $25.46 / $35.65	Professional		$11.24	$25.46	$35.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.17 / $21.79 / $45.02	Facility		$7.17	$21.79	$45.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $12.22 / $41.96	Professional		$3.81	$12.22	$41.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $26.48 / $44.64	Facility		$5.57	$26.48	$44.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $26.28 / $44.64	Professional		$7.04	$26.28	$44.64
United Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $12.22 / $24.44	Professional		$3.87	$12.22	$24.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $20.37 / $20.37	Professional		$16.09	$20.37	$20.37