Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $42.34 / $60.06	Facility		$21.76	$42.34	$60.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $16.76 / $58.83	Professional		$14.36	$16.76	$58.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $39.17 / $48.96	Professional		$24.78	$39.17	$48.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $28.29 / $38.08	Professional		$21.76	$28.29	$38.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $26.13 / $58.10	Facility		$18.53	$26.13	$58.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $19.57 / $50.05	Professional		$10.06	$19.57	$50.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $32.82 / $47.69	Facility		$14.69	$32.82	$47.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $31.00 / $47.69	Professional		$20.55	$31.00	$47.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.06 / $33.50	Professional		$10.19	$13.06	$33.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $21.76 / $21.76	Professional		$17.19	$21.76	$21.76