Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $80.28 / $130.15	Facility		$9.90	$80.28	$130.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $7.33 / $52.50	Professional		$3.99	$7.33	$52.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $9.14 / $11.42	Professional		$5.78	$9.14	$11.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $9.07 / $23.58	Professional		$5.18	$9.07	$23.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $21.03 / $96.59	Facility		$6.22	$21.03	$96.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $5.18 / $13.30	Professional		$3.11	$5.18	$13.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $10.55 / $16.23	Facility		$6.34	$10.55	$16.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $10.67 / $14.91	Professional		$6.22	$10.67	$14.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.34 / $23.33	Professional		$3.11	$4.34	$23.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.18 / $5.18	Professional		$4.09	$5.18	$5.18