Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $38.03 / $50.96	Facility		$17.71	$38.03	$50.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $12.65 / $44.40	Professional		$10.84	$12.65	$44.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $28.75 / $44.20	Professional		$16.43	$28.75	$44.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $21.21 / $63.49	Facility		$16.43	$21.21	$63.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $16.43 / $37.79	Professional		$9.86	$16.43	$37.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $30.13 / $43.59	Facility		$14.69	$30.13	$43.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $28.89 / $42.88	Professional		$18.14	$28.89	$42.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $10.06 / $35.82	Professional		$9.86	$10.06	$35.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $16.43 / $16.43	Professional		$12.98	$16.43	$16.43