Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $49.18 / $88.43	Facility		$22.43	$49.18	$88.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $16.02 / $56.23	Professional		$13.73	$16.02	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $37.86 / $47.33	Professional		$23.95	$37.86	$47.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $31.22 / $271.55	Professional		$20.81	$31.22	$271.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $29.76 / $65.23	Facility		$20.81	$29.76	$65.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $20.81 / $56.93	Professional		$12.49	$20.81	$56.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.49 / $42.42 / $65.23	Facility		$25.49	$42.42	$65.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $42.42 / $59.96	Professional		$24.99	$42.42	$59.96
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $13.88 / $50.42	Professional		$12.49	$13.88	$50.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $20.81 / $20.81	Professional		$16.44	$20.81	$20.81