Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $48.82 / $149.37	Facility		$11.18	$48.82	$149.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $7.48 / $9.38	Professional		$6.42	$7.48	$9.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $17.63 / $22.03	Professional		$11.15	$17.63	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $17.01 / $39.15	Professional		$9.72	$17.01	$39.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $12.54 / $33.94	Facility		$9.72	$12.54	$33.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $9.72 / $22.36	Professional		$5.83	$9.72	$22.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $17.82 / $26.15	Facility		$8.74	$17.82	$26.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $17.19 / $25.37	Professional		$10.79	$17.19	$25.37
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $5.98 / $21.19	Professional		$5.83	$5.98	$21.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $9.72 / $9.72	Professional		$7.68	$9.72	$9.72