Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $57.72 / $255.94	Facility		$16.98	$57.72	$255.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $8.94 / $54.29	Professional		$7.66	$8.94	$54.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $20.32 / $96.21	Professional		$11.61	$20.32	$96.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $19.78 / $63.64	Facility		$11.61	$19.78	$63.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $11.61 / $30.30	Professional		$6.97	$11.61	$30.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $23.66 / $36.40	Facility		$14.21	$23.66	$36.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $23.66 / $33.24	Professional		$13.94	$23.66	$33.24
United Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $7.11 / $26.70	Professional		$6.97	$7.11	$26.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $11.61 / $11.61	Professional		$9.17	$11.61	$11.61