Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $48.64 / $68.03	Facility		$26.95	$48.64	$68.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $19.25 / $67.56	Professional		$16.50	$19.25	$67.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $30.00 / $32.34	Professional		$25.88	$30.00	$32.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $32.50 / $67.30	Professional		$21.81	$32.50	$67.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $25.49 / $65.00	Facility		$13.28	$25.49	$65.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $25.00 / $51.50	Professional		$12.46	$25.00	$51.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $33.75 / $65.00	Facility		$12.11	$33.75	$65.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $32.50 / $45.00	Professional		$15.00	$32.50	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $25.00 / $44.63	Professional		$13.02	$25.00	$44.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $25.00 / $25.00	Professional		$19.75	$25.00	$25.00