Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $56.05 / $123.47	Facility		$26.39	$56.05	$123.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $18.85 / $66.16	Professional		$16.16	$18.85	$66.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $44.39 / $55.49	Professional		$28.08	$44.39	$55.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $34.79 / $50.52	Professional		$24.48	$34.79	$50.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $29.40 / $63.09	Facility		$20.23	$29.40	$63.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $22.03 / $56.21	Professional		$11.06	$22.03	$56.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $35.47 / $53.65	Facility		$16.16	$35.47	$53.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $33.00 / $53.65	Professional		$22.61	$33.00	$53.65
United Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $14.69 / $36.86	Professional		$11.06	$14.69	$36.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $24.48 / $24.48	Professional		$19.34	$24.48	$24.48