Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $41.33 / $55.39	Facility		$20.41	$41.33	$55.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.58 / $121.72	Professional		$12.49	$14.58	$121.72
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 / $31.85 / $175.96	Professional		$18.93	$31.85	$175.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $24.64 / $69.00	Facility		$18.93	$24.64	$69.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $19.50 / $48.00	Professional		$11.07	$19.50	$48.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.19 / $36.56 / $52.10	Facility		$23.19	$36.56	$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 / $11.36 / $38.92	Professional		$11.36	$11.36	$38.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $18.93 / $18.93	Professional		$14.95	$18.93	$18.93