Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $30.20	Facility		$25.70	$25.70	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $30.20	Professional		$18.20	$22.91	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $47.86	Professional		$33.11	$41.69	$47.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $45.71	Professional		$23.44	$28.18	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.20 / $51.29	Facility		$21.38	$30.20	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $165.96	Professional		$32.36	$56.23	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $70.79	Professional		$33.11	$43.65	$70.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $61.66	Professional		$25.12	$38.02	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $66.07	Professional		$26.30	$40.74	$66.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $46.77	Professional		$36.31	$39.81	$46.77