Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $31.22 / $48.27	Facility		$18.86	$31.22	$48.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $13.47 / $47.28	Professional		$11.54	$13.47	$47.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $31.99 / $39.97	Professional		$20.23	$31.99	$39.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $24.49 / $125.82	Professional		$16.78	$24.49	$125.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $21.00 / $44.77	Facility		$12.18	$21.00	$44.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $15.74 / $38.32	Professional		$5.87	$15.74	$38.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $23.65 / $38.32	Facility		$11.73	$23.65	$38.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $23.51 / $38.32	Professional		$14.99	$23.51	$38.32
United Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $10.49 / $32.36	Professional		$5.95	$10.49	$32.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $17.48 / $17.48	Professional		$13.82	$17.48	$17.48