Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $68.31 / $104.30	Facility		$16.82	$68.31	$104.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $10.19 / $32.95	Professional		$8.75	$10.19	$32.95
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 $13.25 / $19.88 / $69.86	Professional		$13.25	$19.88	$69.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $22.61 / $62.94	Facility		$13.25	$22.61	$62.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $13.25 / $35.86	Professional		$7.95	$13.25	$35.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $27.01 / $37.97	Facility		$16.23	$27.01	$37.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $27.01 / $37.18	Professional		$15.90	$27.01	$37.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $10.85 / $58.38	Professional		$7.95	$10.85	$58.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.25 / $13.25	Professional		$10.47	$13.25	$13.25