Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $46.82 / $66.41	Facility		$25.94	$46.82	$66.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $18.53 / $65.04	Professional		$15.88	$18.53	$65.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $43.74 / $54.67	Professional		$27.67	$43.74	$54.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.06 / $34.89 / $99.78	Professional		$24.06	$34.89	$99.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $28.90 / $70.78	Facility		$22.79	$28.90	$70.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $24.06 / $55.34	Professional		$11.36	$24.06	$55.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $39.20 / $52.73	Facility		$21.61	$39.20	$52.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $40.36 / $52.73	Professional		$26.68	$40.36	$52.73
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $14.44 / $44.51	Professional		$11.36	$14.44	$44.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $24.06 / $24.06	Professional		$19.01	$24.06	$24.06