Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $33.45 / $59.30	Facility		$17.19	$33.45	$59.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $13.24 / $46.47	Professional		$11.35	$13.24	$46.47
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 $12.89 / $22.35 / $151.72	Professional		$12.89	$22.35	$151.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $22.19 / $47.66	Facility		$9.63	$22.19	$47.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $17.19 / $43.47	Professional		$4.57	$17.19	$43.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $24.93 / $37.68	Facility		$20.63	$24.93	$37.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $31.01 / $44.87	Professional		$20.63	$31.01	$44.87
United Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $10.31 / $39.54	Professional		$4.70	$10.31	$39.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $17.19 / $17.19	Professional		$13.58	$17.19	$17.19