Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $45.74 / $58.71	Facility		$20.86	$45.74	$58.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $14.90 / $124.42	Professional		$12.77	$14.90	$124.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $35.25 / $44.06	Professional		$22.30	$35.25	$44.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $33.22 / $162.79	Professional		$19.35	$33.22	$162.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $25.18 / $71.91	Facility		$19.35	$25.18	$71.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $19.93 / $49.00	Professional		$11.54	$19.93	$49.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $37.29 / $53.21	Facility		$23.70	$37.29	$53.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $39.11 / $50.50	Professional		$23.22	$39.11	$50.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.90 / $46.87	Professional		$11.61	$11.90	$46.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $19.35 / $19.35	Professional		$15.29	$19.35	$19.35