Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $39.88 / $91.00	Facility		$18.19	$39.88	$91.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $12.99 / $50.40	Professional		$11.13	$12.99	$50.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $29.52 / $203.53	Professional		$16.87	$29.52	$203.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $28.28 / $81.26	Facility		$16.87	$28.28	$81.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $16.87 / $46.55	Professional		$10.11	$16.87	$46.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $34.36 / $52.89	Facility		$20.66	$34.36	$52.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $34.36 / $48.32	Professional		$20.23	$34.36	$48.32
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $11.24 / $40.85	Professional		$10.11	$11.24	$40.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $16.87 / $16.87	Professional		$13.33	$16.87	$16.87