Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $86.03 / $164.50	Facility		$13.00	$86.03	$164.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $9.63 / $70.70	Professional		$5.31	$9.63	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $12.40 / $15.50	Professional		$7.85	$12.40	$15.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $12.06 / $28.83	Professional		$6.89	$12.06	$28.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $19.96 / $91.91	Facility		$8.27	$19.96	$91.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.89 / $18.00	Professional		$4.13	$6.89	$18.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $14.02 / $21.60	Facility		$8.44	$14.02	$21.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $14.02 / $19.96	Professional		$8.27	$14.02	$19.96
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.77 / $17.42	Professional		$4.13	$5.77	$17.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $6.89 / $6.89	Professional		$5.44	$6.89	$6.89