Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $60.45 / $83.37	Facility		$27.57	$60.45	$83.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $19.69 / $69.11	Professional		$16.88	$19.69	$69.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $46.35 / $57.94	Professional		$29.32	$46.35	$57.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $44.75 / $55.57	Professional		$25.57	$44.75	$55.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $33.24 / $97.39	Facility		$25.57	$33.24	$97.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $25.57 / $58.81	Professional		$15.34	$25.57	$58.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.03 / $46.88 / $70.95	Facility		$24.03	$46.88	$70.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $46.03 / $66.73	Professional		$29.67	$46.03	$66.73
United Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $16.45 / $58.81	Professional		$15.34	$16.45	$58.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $25.57 / $25.57	Professional		$20.20	$25.57	$25.57