Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $197.88 / $842.06	Facility		$28.91	$197.88	$842.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.23 / $83.58	Professional		$8.13	$15.23	$83.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $19.57 / $24.48	Professional		$12.39	$19.57	$24.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $18.48 / $55.21	Professional		$10.56	$18.48	$55.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $49.88 / $226.59	Facility		$13.63	$49.88	$226.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $10.56 / $28.81	Professional		$6.34	$10.56	$28.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.93 / $21.53 / $33.11	Facility		$12.93	$21.53	$33.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $21.53 / $30.26	Professional		$12.68	$21.53	$30.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $8.86 / $26.71	Professional		$6.34	$8.86	$26.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $10.56 / $10.56	Professional		$8.34	$10.56	$10.56