Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $55.06 / $86.00	Facility		$23.99	$55.06	$86.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $15.58 / $54.69	Professional		$13.36	$15.58	$54.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $37.21 / $46.51	Professional		$23.54	$37.21	$46.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $35.42 / $111.02	Professional		$20.23	$35.42	$111.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $33.94 / $98.24	Facility		$20.23	$33.94	$98.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $20.85 / $55.41	Professional		$12.14	$20.85	$55.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $41.23 / $63.45	Facility		$24.79	$41.23	$63.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $41.23 / $57.98	Professional		$24.31	$41.23	$57.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $16.52 / $49.03	Professional		$12.14	$16.52	$49.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $20.23 / $20.23	Professional		$15.99	$20.23	$20.23