Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $88.38 / $157.16	Facility		$18.89	$88.38	$157.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $9.94 / $83.08	Professional		$8.52	$9.94	$83.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $22.61 / $72.78	Professional		$12.92	$22.61	$72.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $21.65 / $61.86	Facility		$12.92	$21.65	$61.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $13.31 / $35.47	Professional		$7.75	$13.31	$35.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.82 / $26.32 / $40.50	Facility		$15.82	$26.32	$40.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $26.32 / $37.00	Professional		$15.52	$26.32	$37.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $10.82 / $31.28	Professional		$7.75	$10.82	$31.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $12.92 / $12.92	Professional		$10.21	$12.92	$12.92