Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $33.20 / $268.16	Facility		$13.24	$33.20	$268.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $9.46 / $33.20	Professional		$8.11	$9.46	$33.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $22.20 / $27.74	Professional		$14.04	$22.20	$27.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $21.51 / $99.91	Professional		$12.29	$21.51	$99.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $18.73 / $53.35	Facility		$12.29	$18.73	$53.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $12.29 / $31.20	Professional		$7.37	$12.29	$31.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $22.75 / $38.57	Facility		$13.68	$22.75	$38.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $22.34 / $32.08	Professional		$14.34	$22.34	$32.08
United Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $9.36 / $28.27	Professional		$7.37	$9.36	$28.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $12.29 / $12.29	Professional		$9.71	$12.29	$12.29