Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $38.90 / $199.53	Facility		$12.59	$38.90	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $20.42 / $44.67	Professional		$8.91	$20.42	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $30.20	Professional		$23.99	$23.99	$30.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $19.05 / $44.67	Professional		$10.23	$19.05	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $16.22 / $64.57	Facility		$12.59	$16.22	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.59 / $31.62	Professional		$7.59	$12.59	$31.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $27.54	Facility		$12.59	$12.59	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.91 / $28.18	Professional		$7.59	$8.91	$28.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $12.59	Professional		$10.00	$12.59	$12.59