Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.01 / $47.64 / $49.07	Facility		$26.01	$47.64	$49.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $22.04 / $47.64	Professional		$19.84	$22.04	$47.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $22.87 / $24.28	Professional		$19.43	$22.87	$24.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $26.09 / $52.17	Professional		$19.84	$26.09	$52.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $29.12 / $47.64	Facility		$20.67	$29.12	$47.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $43.00	Professional		$17.23	$17.23	$43.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $25.94 / $32.43	Facility		$20.67	$25.94	$32.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $26.26 / $43.00	Professional		$18.21	$26.26	$43.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $19.84 / $21.82	Professional		$19.84	$19.84	$21.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.23 / $17.23	Facility		$17.23	$17.23	$17.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $17.23	Professional		$17.23	$17.23	$17.23