Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $51.67 / $86.34	Facility		$24.10	$51.67	$86.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $15.65 / $54.93	Professional		$13.41	$15.65	$54.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $37.21 / $46.51	Professional		$23.54	$37.21	$46.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $35.56 / $130.75	Professional		$20.32	$35.56	$130.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $34.07 / $98.24	Facility		$20.32	$34.07	$98.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $20.93 / $55.41	Professional		$12.19	$20.93	$55.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $41.40 / $63.70	Facility		$24.89	$41.40	$63.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $41.40 / $55.41	Professional		$24.40	$41.40	$55.41
United Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $17.03 / $49.22	Professional		$12.19	$17.03	$49.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $20.32 / $20.32	Professional		$16.05	$20.32	$20.32