Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $47.78 / $67.79	Facility		$24.56	$47.78	$67.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $18.91 / $66.37	Professional		$16.21	$18.91	$66.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $44.39 / $55.49	Professional		$28.08	$44.39	$55.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $31.64 / $49.25	Professional		$24.56	$31.64	$49.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $29.49 / $62.87	Facility		$18.53	$29.49	$62.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $21.99 / $53.83	Professional		$10.06	$21.99	$53.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $33.82 / $53.83	Facility		$14.69	$33.82	$53.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $32.27 / $53.83	Professional		$20.55	$32.27	$53.83
United Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.74 / $53.54	Professional		$10.19	$14.74	$53.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $24.56 / $24.56	Professional		$19.39	$24.56	$24.56