Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $31.38 / $251.30	Facility		$13.26	$31.38	$251.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $8.88 / $69.00	Professional		$7.61	$8.88	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $20.18 / $74.01	Professional		$11.53	$20.18	$74.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $19.34 / $56.03	Facility		$11.53	$19.34	$56.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.53 / $31.82	Professional		$6.92	$11.53	$31.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.49 / $36.15	Facility		$14.13	$23.49	$36.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $23.49 / $33.22	Professional		$13.85	$23.49	$33.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $23.70	Professional		$6.92	$6.92	$23.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.53 / $11.53	Professional		$9.11	$11.53	$11.53