Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $49.63 / $1,895.87	Facility		$19.80	$49.63	$1,895.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $14.14 / $49.63	Professional		$12.12	$14.14	$49.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $33.29 / $41.62	Professional		$21.06	$33.29	$41.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $32.15 / $154.41	Professional		$18.37	$32.15	$154.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $28.24 / $57.59	Facility		$18.37	$28.24	$57.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $18.92 / $49.87	Professional		$11.02	$18.92	$49.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $37.42 / $57.59	Facility		$22.50	$37.42	$57.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $37.42 / $52.63	Professional		$22.04	$37.42	$52.63
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $15.00 / $44.49	Professional		$11.02	$15.00	$44.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $18.37 / $18.37	Professional		$14.51	$18.37	$18.37