Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $35.28 / $95.20	Facility		$19.09	$35.28	$95.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $17.17 / $91.00	Professional		$10.05	$17.17	$91.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $22.84 / $98.68	Professional		$13.05	$22.84	$98.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $21.88 / $63.09	Facility		$13.05	$21.88	$63.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $13.05 / $34.06	Professional		$7.83	$13.05	$34.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $26.58 / $40.90	Facility		$15.68	$26.58	$40.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.66 / $25.58 / $35.47	Professional		$15.66	$25.58	$35.47
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $8.01 / $30.02	Professional		$7.83	$8.01	$30.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $13.05 / $13.05	Professional		$10.31	$13.05	$13.05