Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $94.67 / $349.28	Facility		$17.55	$94.67	$349.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $41.64 / $154.32	Professional		$9.24	$41.64	$154.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $21.00 / $67.92	Professional		$12.00	$21.00	$67.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $21.25 / $63.57	Facility		$12.00	$21.25	$63.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $12.00 / $31.32	Professional		$7.20	$12.00	$31.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $24.44 / $37.61	Facility		$14.70	$24.44	$37.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $24.44 / $33.26	Professional		$14.41	$24.44	$33.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $27.60	Professional		$7.20	$7.20	$27.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $12.00 / $12.00	Professional		$9.48	$12.00	$12.00