Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.77 / $47.74 / $84.51	Facility		$21.77	$47.74	$84.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.55 / $54.58	Professional		$13.33	$15.55	$54.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $36.56 / $45.70	Professional		$23.13	$36.56	$45.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $30.30 / $78.94	Professional		$20.20	$30.30	$78.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $26.26 / $74.09	Facility		$20.20	$26.26	$74.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $20.20 / $51.09	Professional		$10.50	$20.20	$51.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.74 / $34.70 / $55.41	Facility		$24.74	$34.70	$55.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $37.01 / $52.72	Professional		$24.24	$37.01	$52.72
United Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $12.12 / $34.50	Professional		$10.82	$12.12	$34.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $20.20 / $20.20	Professional		$15.96	$20.20	$20.20