Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $15.65 / $40.96	Facility		$15.65	$15.65	$40.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $31.30 / $59.20	Professional		$14.05	$31.30	$59.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $13.16 / $15.94	Professional		$12.75	$13.16	$15.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $21.78 / $57.53	Professional		$12.97	$21.78	$57.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $39.02 / $51.91	Facility		$15.65	$39.02	$51.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $15.79 / $44.68	Professional		$13.29	$15.79	$44.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $39.89 / $54.18	Facility		$17.68	$39.89	$54.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $39.89 / $52.21	Professional		$25.22	$39.89	$52.21
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $15.02 / $15.79	Professional		$13.29	$15.02	$15.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Facility		$13.17	$13.17	$13.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.17 / $13.17 / $13.17	Professional		$13.17	$13.17	$13.17