Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $49.20 / $141.55	Facility		$17.38	$49.20	$141.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $18.29 / $84.48	Professional		$9.97	$18.29	$84.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $22.66 / $99.99	Professional		$12.95	$22.66	$99.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $22.07 / $68.54	Facility		$12.95	$22.07	$68.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $12.95 / $35.47	Professional		$7.77	$12.95	$35.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $26.39 / $39.84	Facility		$15.86	$26.39	$39.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $26.39 / $37.29	Professional		$15.55	$26.39	$37.29
United Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $8.63 / $29.79	Professional		$7.77	$8.63	$29.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.95 / $12.95	Professional		$10.23	$12.95	$12.95