Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $42.60 / $60.44	Facility		$23.60	$42.60	$60.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.86 / $59.18	Professional		$14.45	$16.86	$59.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $39.82 / $49.78	Professional		$25.19	$39.82	$49.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $32.85 / $78.30	Professional		$21.90	$32.85	$78.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $27.38 / $70.78	Facility		$21.90	$27.38	$70.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $21.90 / $50.37	Professional		$11.36	$21.90	$50.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $38.45 / $48.77	Facility		$21.61	$38.45	$48.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $39.42 / $50.53	Professional		$26.28	$39.42	$50.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $13.14 / $55.39	Professional		$11.72	$13.14	$55.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $21.90 / $21.90	Professional		$17.30	$21.90	$21.90