Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $43.23 / $125.08	Facility		$19.71	$43.23	$125.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $14.08 / $49.42	Professional		$12.06	$14.08	$49.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $33.29 / $41.62	Professional		$21.06	$33.29	$41.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $31.99 / $258.55	Professional		$18.28	$31.99	$258.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $30.65 / $88.54	Facility		$18.28	$30.65	$88.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $18.82 / $49.87	Professional		$10.97	$18.82	$49.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $37.22 / $57.31	Facility		$22.39	$37.22	$57.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $37.22 / $52.37	Professional		$21.95	$37.22	$52.37
United Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $14.93 / $44.28	Professional		$10.97	$14.93	$44.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $18.28 / $18.28	Professional		$14.44	$18.28	$18.28