Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $40.79 / $216.00	Facility		$16.71	$40.79	$216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $15.20 / $74.00	Professional		$8.80	$15.20	$74.00
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 $11.43 / $20.00 / $62.54	Professional		$11.43	$20.00	$62.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $19.18 / $98.56	Facility		$11.43	$19.18	$98.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $11.77 / $29.83	Professional		$6.86	$11.77	$29.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $23.28 / $35.83	Facility		$14.00	$23.28	$35.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $23.28 / $32.74	Professional		$13.72	$23.28	$32.74
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.59 / $26.29	Professional		$6.86	$9.59	$26.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.43 / $11.43	Professional		$9.02	$11.43	$11.43