Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $36.33 / $204.05	Facility		$19.66	$36.33	$204.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $10.35 / $86.42	Professional		$10.35	$10.35	$86.42
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 $13.44 / $23.52 / $84.62	Professional		$13.44	$23.52	$84.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $22.52 / $64.27	Facility		$13.44	$22.52	$64.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $13.84 / $36.57	Professional		$8.06	$13.84	$36.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $27.38 / $42.13	Facility		$16.46	$27.38	$42.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $27.38 / $38.49	Professional		$16.14	$27.38	$38.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.06 / $30.91	Professional		$8.06	$8.06	$30.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $13.44 / $13.44	Professional		$10.62	$13.44	$13.44