Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $32.45 / $107.80	Facility		$15.79	$32.45	$107.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $10.57 / $84.44	Professional		$9.06	$10.57	$84.44
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 $13.73 / $24.03 / $160.36	Professional		$13.73	$24.03	$160.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $23.41 / $68.73	Facility		$13.73	$23.41	$68.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $13.73 / $37.69	Professional		$8.24	$13.73	$37.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $27.97 / $43.04	Facility		$16.82	$27.97	$43.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $27.97 / $39.56	Professional		$16.48	$27.97	$39.56
United Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $13.73 / $31.58	Facility		$13.73	$13.73	$31.58
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.50 / $31.58	Professional		$8.24	$11.50	$31.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $13.73 / $13.73	Professional		$10.85	$13.73	$13.73