Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $32.77 / $45.84	Facility		$16.85	$32.77	$45.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $12.97 / $45.52	Professional		$11.12	$12.97	$45.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $25.28 / $150.30	Professional		$18.54	$25.28	$150.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $21.75 / $80.04	Facility		$16.85	$21.75	$80.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $15.17 / $45.70	Professional		$10.11	$15.17	$45.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $34.71 / $81.65	Facility		$20.23	$34.71	$81.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $34.33 / $45.70	Professional		$20.22	$34.33	$45.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $12.48 / $40.81	Professional		$10.11	$12.48	$40.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $16.85 / $16.85	Professional		$13.31	$16.85	$16.85