Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $45.74 / $71.59	Facility		$19.35	$45.74	$71.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $14.90 / $28.30	Professional		$12.77	$14.90	$28.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $35.25 / $44.06	Professional		$22.30	$35.25	$44.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $25.00 / $85.11	Professional		$16.70	$25.00	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $23.71 / $53.21	Facility		$12.79	$23.71	$53.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $19.35 / $48.94	Professional		$5.98	$19.35	$48.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $25.16 / $42.41	Facility		$23.22	$25.16	$42.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $29.26 / $50.50	Professional		$19.17	$29.26	$50.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $11.61 / $44.51	Professional		$6.15	$11.61	$44.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $19.35 / $19.35	Professional		$15.29	$19.35	$19.35