Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $32.08 / $34.97	Facility		$32.08	$32.08	$34.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $15.64 / $17.44	Professional		$13.84	$15.64	$17.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $21.60 / $36.61	Professional		$18.43	$21.60	$36.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $31.47 / $56.29	Professional		$17.98	$31.47	$56.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $26.97 / $72.78	Facility		$21.00	$26.97	$72.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $32.36 / $134.00	Professional		$17.98	$32.36	$134.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $32.36 / $39.40	Facility		$23.20	$32.36	$39.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $34.34 / $45.85	Professional		$23.20	$34.34	$45.85
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $18.52 / $43.61	Professional		$17.98	$18.52	$43.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $17.98 / $17.98	Professional		$17.98	$17.98	$17.98