Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $27.34 / $51.49	Facility		$20.62	$27.34	$51.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $13.81 / $600.00	Professional		$11.83	$13.81	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $26.90 / $51.00	Professional		$19.72	$26.90	$51.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $23.14 / $86.91	Facility		$17.93	$23.14	$86.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $16.14 / $49.49	Professional		$10.76	$16.14	$49.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $36.94 / $86.91	Facility		$21.54	$36.94	$86.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $36.54 / $50.60	Professional		$21.52	$36.54	$50.60
United Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $13.28 / $41.24	Professional		$10.76	$13.28	$41.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $17.93 / $17.93	Professional		$14.16	$17.93	$17.93