Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $43.06 / $57.71	Facility		$20.41	$43.06	$57.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.58 / $51.18	Professional		$12.49	$14.58	$51.18
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 $18.93 / $33.13 / $178.35	Professional		$18.93	$33.13	$178.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $24.97 / $71.91	Facility		$18.93	$24.97	$71.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $19.50 / $48.00	Professional		$11.36	$19.50	$48.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.19 / $38.34 / $52.10	Facility		$23.19	$38.34	$52.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $38.57 / $49.41	Professional		$22.72	$38.57	$49.41
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.54 / $43.54	Professional		$11.36	$11.54	$43.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $18.93 / $18.93	Professional		$14.95	$18.93	$18.93