Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.05 / $106.70 / $277.14	Facility		$26.05	$106.70	$277.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $23.27 / $91.00	Professional		$10.31	$23.27	$91.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $23.43 / $50.16	Professional		$13.39	$23.43	$50.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $30.41 / $124.88	Facility		$14.89	$30.41	$124.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.39 / $34.95	Professional		$8.02	$13.39	$34.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $27.30 / $41.98	Facility		$16.39	$27.30	$41.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $27.30 / $38.36	Professional		$16.07	$27.30	$38.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $11.23 / $32.44	Professional		$8.02	$11.23	$32.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $13.39 / $13.39	Professional		$10.58	$13.39	$13.39