Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $33.26 / $76.38	Facility		$20.68	$33.26	$76.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $13.84 / $81.00	Professional		$11.87	$13.84	$81.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $26.97 / $117.46	Professional		$17.98	$26.97	$117.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $27.40 / $85.41	Facility		$17.98	$27.40	$85.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $17.98 / $49.17	Professional		$10.79	$17.98	$49.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $36.61 / $56.37	Facility		$22.01	$36.61	$56.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $36.61 / $51.79	Professional		$21.60	$36.61	$51.79
United Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $15.18 / $43.53	Professional		$10.79	$15.18	$43.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $17.98 / $17.98	Professional		$14.20	$17.98	$17.98