Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $30.99 / $142.59	Facility		$16.66	$30.99	$142.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $8.77 / $33.82	Professional		$7.52	$8.77	$33.82
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 $11.39 / $19.93 / $75.23	Professional		$11.39	$19.93	$75.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $18.96 / $58.59	Facility		$11.39	$18.96	$58.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $11.73 / $29.73	Professional		$6.83	$11.73	$29.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $23.19 / $35.71	Facility		$13.68	$23.19	$35.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $22.77 / $31.03	Professional		$13.67	$22.77	$31.03
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $9.48 / $27.58	Professional		$6.83	$9.48	$27.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $11.39 / $11.39	Professional		$9.00	$11.39	$11.39