Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $50.68 / $79.69	Facility		$20.22	$50.68	$79.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $14.44 / $18.75	Professional		$12.38	$14.44	$18.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $33.95 / $42.43	Professional		$21.48	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $32.81 / $78.94	Professional		$18.75	$32.81	$78.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $31.45 / $90.97	Facility		$18.75	$31.45	$90.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $19.30 / $50.99	Professional		$11.25	$19.30	$50.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $38.18 / $58.78	Facility		$22.97	$38.18	$58.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $37.49 / $50.99	Professional		$22.50	$37.49	$50.99
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.73 / $43.13	Professional		$11.25	$15.73	$43.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $18.75 / $18.75	Professional		$14.81	$18.75	$18.75