Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $38.03 / $50.96	Facility		$17.36	$38.03	$50.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $12.40 / $43.52	Professional		$10.63	$12.40	$43.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $29.38 / $36.72	Professional		$18.59	$29.38	$36.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $28.18 / $80.83	Professional		$16.10	$28.18	$80.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $20.77 / $58.23	Facility		$16.10	$20.77	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $16.10 / $37.03	Professional		$9.66	$16.10	$37.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $29.51 / $43.59	Facility		$14.69	$29.51	$43.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $28.89 / $42.02	Professional		$18.14	$28.89	$42.02
United Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $10.06 / $33.50	Professional		$9.66	$10.06	$33.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $16.10 / $16.10	Professional		$12.72	$16.10	$16.10