Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $37.21 / $66.89	Facility		$16.97	$37.21	$66.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $12.12 / $42.54	Professional		$10.39	$12.12	$42.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $28.72 / $35.90	Professional		$18.17	$28.72	$35.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $27.55 / $103.61	Professional		$15.74	$27.55	$103.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $26.39 / $76.39	Facility		$15.74	$26.39	$76.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $16.21 / $42.12	Professional		$9.44	$16.21	$42.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $32.06 / $49.34	Facility		$19.28	$32.06	$49.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $32.06 / $45.09	Professional		$18.89	$32.06	$45.09
United Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $13.19 / $38.13	Professional		$9.44	$13.19	$38.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $15.74 / $15.74	Professional		$12.43	$15.74	$15.74