Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.11 / $46.30 / $83.25	Facility		$21.11	$46.30	$83.25
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 / $29.39 / $168.99	Professional		$19.59	$29.39	$168.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $30.34 / $93.18	Facility		$19.59	$30.34	$93.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.59 / $54.07	Professional		$11.75	$19.59	$54.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $39.90 / $61.00	Facility		$23.99	$39.90	$61.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $39.90 / $56.43	Professional		$23.53	$39.90	$56.43
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.42 / $49.54	Professional		$11.75	$16.42	$49.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $19.59 / $19.59	Professional		$15.48	$19.59	$19.59