Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $45.43 / $69.27	Facility		$23.36	$45.43	$69.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $19.60 / $49.31	Professional		$11.58	$19.60	$49.31
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 $28.00 / $38.18 / $118.72	Professional		$28.00	$38.18	$118.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $32.84 / $97.69	Facility		$25.45	$32.84	$97.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $58.54	Professional		$15.27	$15.27	$58.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $44.54 / $97.69	Facility		$30.57	$44.54	$97.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $44.54 / $55.78	Professional		$30.54	$44.54	$55.78
United Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $55.48	Professional		$15.27	$15.27	$55.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $25.45 / $25.45	Professional		$20.11	$25.45	$25.45