Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $42.70 / $95.90	Facility		$19.47	$42.70	$95.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $13.91 / $48.82	Professional		$11.92	$13.91	$48.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $31.61 / $158.00	Professional		$18.05	$31.61	$158.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $30.28 / $57.70	Facility		$18.05	$30.28	$57.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $18.05 / $49.85	Professional		$10.84	$18.05	$49.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $36.78 / $56.62	Facility		$22.12	$36.78	$56.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $36.78 / $51.72	Professional		$21.67	$36.78	$51.72
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $14.75 / $43.73	Professional		$10.84	$14.75	$43.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $18.05 / $18.05	Professional		$14.27	$18.05	$18.05