Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.38 / $29.76 / $457.80	Facility		$22.38	$29.76	$457.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $11.78 / $89.00	Professional		$10.10	$11.78	$89.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.42 / $34.27	Professional		$17.35	$27.42	$34.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $26.78 / $61.67	Professional		$15.30	$26.78	$61.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $19.73 / $55.77	Facility		$15.30	$19.73	$55.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $15.30 / $35.19	Professional		$9.18	$15.30	$35.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $28.06 / $41.08	Facility		$14.02	$28.06	$41.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $27.54 / $39.93	Professional		$17.30	$27.54	$39.93
United Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $28.31	Professional		$9.18	$9.18	$28.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $15.30 / $15.30	Professional		$12.09	$15.30	$15.30