Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $39.94 / $112.96	Facility		$15.93	$39.94	$112.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $11.38 / $21.84	Professional		$9.75	$11.38	$21.84
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 $14.78 / $25.87 / $101.15	Professional		$14.78	$25.87	$101.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $24.79 / $71.56	Facility		$14.78	$24.79	$71.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $14.78 / $39.90	Professional		$8.86	$14.78	$39.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $30.13 / $46.34	Facility		$18.11	$30.13	$46.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $30.13 / $42.36	Professional		$17.73	$30.13	$42.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $12.40 / $35.82	Professional		$8.86	$12.40	$35.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $14.78 / $14.78	Professional		$11.68	$14.78	$14.78