Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $23.71 / $125.91	Facility		$13.28	$23.71	$125.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $10.23 / $85.00	Professional		$8.76	$10.23	$85.00
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 $13.28 / $23.24 / $75.23	Professional		$13.28	$23.24	$75.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $22.26 / $64.27	Facility		$13.28	$22.26	$64.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $13.68 / $36.57	Professional		$7.97	$13.68	$36.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $27.06 / $41.63	Facility		$16.26	$27.06	$41.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $27.06 / $38.04	Professional		$15.94	$27.06	$38.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $10.84 / $32.15	Professional		$7.97	$10.84	$32.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $13.28 / $13.28	Professional		$10.49	$13.28	$13.28