Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $49.44 / $231.81	Facility		$16.64	$49.44	$231.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $9.27 / $62.40	Professional		$7.95	$9.27	$62.40
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 $13.26 / $18.07 / $88.57	Professional		$13.26	$18.07	$88.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $15.67 / $44.26	Facility		$12.05	$15.67	$44.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $27.72	Professional		$6.92	$6.92	$27.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $21.09 / $44.26	Facility		$14.48	$21.09	$44.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $21.92 / $25.27	Professional		$14.46	$21.92	$25.27
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $23.61	Professional		$6.92	$6.92	$23.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $12.05 / $12.05	Professional		$9.52	$12.05	$12.05