Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $62.30 / $161.04	Facility		$19.80	$62.30	$161.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.43 / $96.00	Professional		$10.43	$10.43	$96.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.81 / $31.01	Professional		$15.69	$24.81	$31.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $23.70 / $92.51	Professional		$13.54	$23.70	$92.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $23.11 / $71.55	Facility		$13.54	$23.11	$71.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $13.95 / $36.57	Professional		$8.11	$13.95	$36.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $27.60 / $42.45	Facility		$16.60	$27.60	$42.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $27.60 / $38.83	Professional		$16.26	$27.60	$38.83
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.06 / $31.14	Professional		$8.11	$11.06	$31.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $13.54 / $13.54	Professional		$10.70	$13.54	$13.54