Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $39.97 / $101.92	Facility		$16.91	$39.97	$101.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $13.02 / $108.73	Professional		$11.16	$13.02	$108.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $29.59 / $119.65	Professional		$16.91	$29.59	$119.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $26.12 / $71.91	Facility		$16.91	$26.12	$71.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $17.42 / $43.00	Professional		$10.15	$17.42	$43.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $34.45 / $48.55	Facility		$20.71	$34.45	$48.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $34.45 / $46.55	Professional		$20.30	$34.45	$46.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $11.39 / $37.94	Professional		$10.15	$11.39	$37.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $16.91 / $16.91	Professional		$13.36	$16.91	$16.91