Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.60 / $47.00	Facility		$18.62	$33.60	$47.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $13.30 / $46.68	Professional		$11.40	$13.30	$46.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $25.74 / $46.73	Professional		$17.27	$25.74	$46.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $20.74 / $49.71	Facility		$16.02	$20.74	$49.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $15.76 / $39.72	Professional		$8.74	$15.76	$39.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $28.48 / $37.85	Facility		$12.77	$28.48	$37.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $25.12 / $37.85	Professional		$14.00	$25.12	$37.85
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $10.36 / $37.65	Professional		$8.74	$10.36	$37.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $17.27 / $17.27	Professional		$13.64	$17.27	$17.27