Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $62.97 / $96.02	Facility		$35.29	$62.97	$96.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $27.17 / $27.17	Professional		$12.22	$27.17	$27.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $63.97 / $79.97	Professional		$40.47	$63.97	$79.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $44.11 / $61.76	Professional		$29.61	$44.11	$61.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $42.35 / $77.98	Facility		$18.53	$42.35	$77.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $21.99 / $72.70	Professional		$10.06	$21.99	$72.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $45.54 / $77.34	Facility		$14.69	$45.54	$77.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $43.59 / $77.34	Professional		$20.55	$43.59	$77.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $21.17 / $54.09	Professional		$10.19	$21.17	$54.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $35.29 / $35.29	Professional		$27.88	$35.29	$35.29