Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $46.23 / $117.52	Facility		$15.72	$46.23	$117.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $14.59 / $93.81	Professional		$11.23	$14.59	$93.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $25.53 / $87.15	Professional		$14.59	$25.53	$87.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.59 / $24.46 / $69.56	Facility		$14.59	$24.46	$69.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $14.59 / $38.08	Professional		$8.75	$14.59	$38.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $29.73 / $45.74	Facility		$17.86	$29.73	$45.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $29.73 / $41.77	Professional		$17.51	$29.73	$41.77
United Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $11.90 / $35.34	Professional		$8.75	$11.90	$35.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $14.59 / $14.59	Professional		$11.53	$14.59	$14.59