Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $46.30 / $89.09	Facility		$21.11	$46.30	$89.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $15.08 / $52.93	Professional		$12.93	$15.08	$52.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $35.90 / $44.88	Professional		$22.72	$35.90	$44.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $34.28 / $106.08	Professional		$19.59	$34.28	$106.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $34.86 / $100.66	Facility		$19.59	$34.86	$100.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $20.18 / $54.07	Professional		$11.75	$20.18	$54.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $39.90 / $61.41	Facility		$25.28	$39.90	$61.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $39.90 / $57.63	Professional		$23.53	$39.90	$57.63
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.23 / $45.06	Professional		$11.75	$17.23	$45.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $19.59 / $19.59	Professional		$15.48	$19.59	$19.59