Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $39.65 / $135.10	Facility		$21.31	$39.65	$135.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $11.22 / $32.95	Professional		$9.61	$11.22	$32.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $25.50 / $91.28	Professional		$14.57	$25.50	$91.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $24.41 / $70.34	Facility		$14.57	$24.41	$70.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $15.01 / $39.90	Professional		$8.74	$15.01	$39.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $29.66 / $45.68	Facility		$17.84	$29.66	$45.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $29.66 / $39.90	Professional		$17.51	$29.66	$39.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.89 / $35.27	Professional		$8.74	$11.89	$35.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $14.57 / $14.57	Professional		$11.51	$14.57	$14.57