Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $40.07 / $50.31	Facility		$19.66	$40.07	$50.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $14.04 / $49.28	Professional		$12.03	$14.04	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $31.90 / $56.83	Professional		$18.23	$31.90	$56.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $23.53 / $63.09	Facility		$18.23	$23.53	$63.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $18.23 / $41.93	Professional		$10.94	$18.23	$41.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $33.00 / $47.30	Facility		$16.16	$33.00	$47.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $30.59 / $47.30	Professional		$16.16	$30.59	$47.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $10.94 / $36.86	Professional		$10.94	$10.94	$36.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $18.23 / $18.23	Professional		$14.40	$18.23	$18.23