Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $46.75 / $323.01	Facility		$20.07	$46.75	$323.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $13.04 / $29.38	Professional		$11.18	$13.04	$29.38
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 $16.94 / $29.65 / $156.80	Professional		$16.94	$29.65	$156.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $28.40 / $81.26	Facility		$16.94	$28.40	$81.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $17.45 / $46.55	Professional		$10.16	$17.45	$46.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $34.52 / $53.11	Facility		$20.75	$34.52	$53.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $34.52 / $48.53	Professional		$20.34	$34.52	$48.53
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $38.96	Professional		$10.16	$10.16	$38.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $16.94 / $16.94	Professional		$13.38	$16.94	$16.94