Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $37.29 / $61.89	Facility		$17.01	$37.29	$61.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $12.15 / $42.65	Professional		$10.41	$12.15	$42.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $28.72 / $35.90	Professional		$18.17	$28.72	$35.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $27.62 / $131.66	Professional		$15.78	$27.62	$131.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $24.41 / $77.09	Facility		$15.78	$24.41	$77.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $16.18 / $40.68	Professional		$9.47	$16.18	$40.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $29.66 / $49.47	Facility		$17.84	$29.66	$49.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $29.66 / $41.19	Professional		$18.94	$29.66	$41.19
United Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $11.89 / $39.90	Professional		$9.47	$11.89	$39.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $15.78 / $15.78	Professional		$12.47	$15.78	$15.78