Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $40.46 / $106.40	Facility		$19.41	$40.46	$106.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $21.15 / $99.76	Professional		$12.25	$21.15	$99.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $28.72 / $35.90	Professional		$18.17	$28.72	$35.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $27.84 / $70.20	Professional		$15.91	$27.84	$70.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $26.66 / $76.39	Facility		$15.91	$26.66	$76.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.91 / $41.53	Professional		$9.55	$15.91	$41.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $32.40 / $49.88	Facility		$19.11	$32.40	$49.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $31.81 / $43.23	Professional		$14.72	$31.81	$43.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.99 / $38.52	Professional		$9.55	$12.99	$38.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $15.91 / $15.91	Professional		$12.57	$15.91	$15.91