Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $40.54 / $72.91	Facility		$18.48	$40.54	$72.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $13.21 / $46.37	Professional		$11.33	$13.21	$46.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $30.03 / $113.67	Professional		$17.16	$30.03	$113.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $28.78 / $82.46	Facility		$17.16	$28.78	$82.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $17.67 / $47.36	Professional		$10.30	$17.67	$47.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $34.96 / $53.80	Facility		$21.02	$34.96	$53.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $34.96 / $49.16	Professional		$20.61	$34.96	$49.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $39.47	Professional		$10.30	$10.30	$39.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $17.16 / $17.16	Professional		$13.56	$17.16	$17.16