Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $48.98 / $6,446.00	Facility		$20.70	$48.98	$6,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $13.86 / $48.65	Professional		$11.88	$13.86	$48.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $28.02 / $87.15	Professional		$18.00	$28.02	$87.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $23.40 / $60.64	Facility		$18.00	$23.40	$60.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $18.12 / $45.52	Professional		$9.73	$18.12	$45.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $32.90 / $48.77	Facility		$22.04	$32.90	$48.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $36.67 / $46.98	Professional		$21.60	$36.67	$46.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $10.80 / $45.52	Professional		$10.03	$10.80	$45.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $18.00 / $18.00	Professional		$14.22	$18.00	$18.00