Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $54.50 / $115.90	Facility		$14.21	$54.50	$115.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $16.07 / $106.48	Professional		$7.48	$16.07	$106.48
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 / $49.25	Professional		$9.72	$17.01	$49.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $14.48 / $41.23	Facility		$9.72	$14.48	$41.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $9.72 / $24.47	Professional		$5.83	$9.72	$24.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $17.82 / $29.89	Facility		$10.40	$17.82	$29.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $17.82 / $25.37	Professional		$11.66	$17.82	$25.37
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $7.12 / $22.36	Professional		$5.83	$7.12	$22.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $9.72 / $9.72	Professional		$7.68	$9.72	$9.72