Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $42.30 / $58.71	Facility		$19.29	$42.30	$58.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $13.78 / $23.89	Professional		$11.81	$13.78	$23.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $31.33 / $155.61	Professional		$17.89	$31.33	$155.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $24.97 / $71.91	Facility		$17.89	$24.97	$71.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $18.44 / $45.27	Professional		$10.74	$18.44	$45.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $36.47 / $48.77	Facility		$21.93	$36.47	$48.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $36.47 / $48.55	Professional		$21.48	$36.47	$48.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $11.54 / $80.73	Professional		$10.74	$11.54	$80.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $17.89 / $17.89	Professional		$14.14	$17.89	$17.89