Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $31.59 / $56.77	Facility		$14.41	$31.59	$56.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $10.29 / $23.27	Professional		$8.82	$10.29	$23.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $23.38 / $119.65	Professional		$13.36	$23.38	$119.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $20.64 / $64.27	Facility		$13.36	$20.64	$64.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.76 / $36.57	Professional		$8.02	$13.76	$36.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $27.20 / $41.88	Facility		$16.36	$27.20	$41.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $27.20 / $38.28	Professional		$16.04	$27.20	$38.28
United Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $10.91 / $32.35	Professional		$8.02	$10.91	$32.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $13.36 / $13.36	Professional		$10.55	$13.36	$13.36