Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $39.72 / $176.71	Facility		$18.12	$39.72	$176.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $12.94 / $22.36	Professional		$11.09	$12.94	$22.36
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 $16.80 / $29.40 / $130.75	Professional		$16.80	$29.40	$130.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $24.97 / $72.45	Facility		$16.80	$24.97	$72.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $17.30 / $43.00	Professional		$10.08	$17.30	$43.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $34.24 / $48.55	Facility		$20.58	$34.24	$48.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $34.24 / $46.55	Professional		$20.17	$34.24	$46.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.08 / $38.22	Professional		$10.08	$10.08	$38.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $16.80 / $16.80	Professional		$13.27	$16.80	$16.80