Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $35.95 / $64.61	Facility		$16.39	$35.95	$64.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $11.71 / $41.10	Professional		$10.03	$11.71	$41.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.42 / $34.27	Professional		$17.35	$27.42	$34.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $26.62 / $104.83	Professional		$15.21	$26.62	$104.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $25.50 / $74.00	Facility		$15.21	$25.50	$74.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $15.67 / $41.01	Professional		$9.13	$15.67	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.99 / $47.68	Facility		$18.62	$30.99	$47.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $30.99 / $43.58	Professional		$18.26	$30.99	$43.58
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $12.75 / $38.47	Professional		$9.13	$12.75	$38.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.21 / $15.21	Professional		$12.02	$15.21	$15.21