Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $30.00 / $60.76	Facility		$26.07	$30.00	$60.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $28.98 / $45.25	Professional		$15.33	$28.98	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $18.45 / $21.38	Professional		$17.10	$18.45	$21.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $15.33 / $57.66	Professional		$12.26	$15.33	$57.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.12 / $25.59 / $36.39	Facility		$20.12	$25.59	$36.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $33.72	Professional		$17.27	$17.27	$33.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $20.72 / $29.06	Facility		$18.62	$20.72	$29.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $23.80 / $44.79	Professional		$19.45	$23.80	$44.79
United Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $15.79	Professional		$15.33	$15.33	$15.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $17.27	Facility		$17.27	$17.27	$17.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $17.27	Professional		$17.27	$17.27	$17.27