Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $33.88 / $194.98	Facility		$13.80	$33.88	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.95 / $85.11	Professional		$8.91	$19.95	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $30.90	Professional		$18.62	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.12 / $70.79	Professional		$12.88	$25.12	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.50 / $61.66	Facility		$12.88	$19.50	$61.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $33.11	Professional		$12.88	$15.49	$33.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.85	Professional		$15.49	$15.49	$15.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $28.18	Facility		$12.88	$12.88	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.88 / $28.84	Professional		$11.22	$12.88	$28.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $12.88	Professional		$10.23	$12.88	$12.88