Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $35.60 / $205.48	Facility		$12.90	$35.60	$205.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.93 / $19.76	Professional		$8.51	$9.93	$19.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $19.14 / $80.18	Professional		$12.90	$19.14	$80.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $16.78 / $61.86	Facility		$12.90	$16.78	$61.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $12.90 / $32.61	Professional		$6.36	$12.90	$32.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $21.65 / $35.47	Facility		$15.80	$21.65	$35.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $26.15 / $33.67	Professional		$15.48	$26.15	$33.67
United Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $7.74 / $29.67	Professional		$6.36	$7.74	$29.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.90 / $12.90	Professional		$10.19	$12.90	$12.90