Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $49.74 / $145.27	Facility		$19.84	$49.74	$145.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $14.17 / $96.00	Professional		$12.14	$14.17	$96.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $33.29 / $41.62	Professional		$21.06	$33.29	$41.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $32.20 / $130.09	Professional		$18.39	$32.20	$130.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $23.92 / $65.48	Facility		$18.39	$23.92	$65.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $18.39 / $40.32	Professional		$11.04	$18.39	$40.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $33.74 / $48.55	Facility		$16.55	$33.74	$48.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $32.54 / $48.02	Professional		$20.43	$32.54	$48.02
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $37.74	Professional		$11.04	$11.04	$37.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $18.39 / $18.39	Professional		$14.54	$18.39	$18.39