Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $43.06 / $60.11	Facility		$23.48	$43.06	$60.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $16.77 / $58.86	Professional		$14.37	$16.77	$58.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $39.17 / $48.96	Professional		$24.78	$39.17	$48.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $32.67 / $54.31	Professional		$21.78	$32.67	$54.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $26.93 / $71.91	Facility		$21.78	$26.93	$71.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $19.60 / $50.09	Professional		$11.54	$19.60	$50.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $37.39 / $48.12	Facility		$19.55	$37.39	$48.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $36.54 / $55.54	Professional		$21.20	$36.54	$55.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $13.07 / $72.95	Professional		$11.54	$13.07	$72.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $21.78 / $21.78	Professional		$17.21	$21.78	$21.78