Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $231.00 / $231.00	Facility		$231.00	$231.00	$231.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $17.17 / $27.27	Professional		$8.77	$17.17	$27.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $30.19 / $51.62	Professional		$19.48	$30.19	$51.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $24.45 / $44.59	Professional		$8.10	$24.45	$44.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $31.52 / $50.00	Facility		$20.84	$31.52	$50.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $38.26 / $211.00	Professional		$18.97	$38.26	$211.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $30.19 / $46.84	Facility		$20.84	$30.19	$46.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $32.00 / $48.40	Professional		$18.92	$32.00	$48.40
United Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $32.57 / $51.47	Professional		$18.18	$32.57	$51.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $20.39 / $41.60	Professional		$17.30	$20.39	$41.60