Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $52.72 / $243.81	Facility		$16.16	$52.72	$243.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $18.28 / $52.25	Professional		$8.77	$18.28	$52.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $33.29 / $52.59	Professional		$20.26	$33.29	$52.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $25.13 / $48.55	Professional		$8.40	$25.13	$48.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $32.00 / $46.83	Facility		$20.89	$32.00	$46.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $39.31 / $69.23	Professional		$19.55	$39.31	$69.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $32.96 / $45.78	Facility		$19.80	$32.96	$45.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $32.96 / $48.00	Professional		$19.44	$32.96	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $32.04 / $53.92	Professional		$18.73	$32.04	$53.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $21.20 / $42.40	Professional		$18.00	$21.20	$42.40