Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $46.33 / $83.25	Facility		$21.13	$46.33	$83.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $15.09 / $25.77	Professional		$12.94	$15.09	$25.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $35.90 / $44.88	Professional		$22.72	$35.90	$44.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $34.29 / $58.10	Professional		$19.60	$34.29	$58.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $30.34 / $61.45	Facility		$19.60	$30.34	$61.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $20.19 / $53.21	Professional		$11.76	$20.19	$53.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $32.89 / $61.45	Facility		$23.99	$32.89	$61.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $39.93 / $56.13	Professional		$23.54	$39.93	$56.13
United Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $16.42 / $47.46	Professional		$11.76	$16.42	$47.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $19.60 / $19.60	Professional		$15.48	$19.60	$19.60