Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $38.61 / $57.71	Facility		$17.61	$38.61	$57.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $12.58 / $44.16	Professional		$10.78	$12.58	$44.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $28.60 / $172.37	Professional		$16.34	$28.60	$172.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $24.97 / $71.91	Facility		$16.34	$24.97	$71.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $16.82 / $42.00	Professional		$9.80	$16.82	$42.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $33.28 / $48.55	Facility		$20.02	$33.28	$48.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $33.28 / $45.45	Professional		$19.63	$33.28	$45.45
United Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $11.39 / $37.58	Professional		$9.80	$11.39	$37.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $16.34 / $16.34	Professional		$12.91	$16.34	$16.34