Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $45.01 / $57.71	Facility		$20.52	$45.01	$57.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $14.66 / $122.43	Professional		$12.57	$14.66	$122.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $34.60 / $43.25	Professional		$21.89	$34.60	$43.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $33.22 / $162.79	Professional		$19.04	$33.22	$162.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $24.97 / $71.91	Facility		$19.04	$24.97	$71.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $19.04 / $48.15	Professional		$11.42	$19.04	$48.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $37.40 / $52.10	Facility		$22.87	$37.40	$52.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $38.09 / $49.69	Professional		$22.00	$38.09	$49.69
United Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $43.79	Professional		$11.42	$11.42	$43.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $19.04 / $19.04	Professional		$15.04	$19.04	$19.04