Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $43.41 / $69.73	Facility		$19.80	$43.41	$69.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $14.14 / $49.63	Professional		$12.12	$14.14	$49.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $33.29 / $41.62	Professional		$21.06	$33.29	$41.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $32.13 / $112.41	Professional		$18.36	$32.13	$112.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $27.53 / $78.81	Facility		$18.36	$27.53	$78.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $18.36 / $46.43	Professional		$11.02	$18.36	$46.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $33.65 / $57.56	Facility		$20.10	$33.65	$57.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $33.65 / $47.92	Professional		$22.03	$33.65	$47.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $13.76 / $42.23	Professional		$11.02	$13.76	$42.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $18.36 / $18.36	Professional		$14.50	$18.36	$18.36