Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $42.12 / $101.15	Facility		$15.59	$42.12	$101.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $12.00 / $66.00	Professional		$10.29	$12.00	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $28.07 / $35.09	Professional		$17.76	$28.07	$35.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $27.28 / $79.56	Professional		$15.59	$27.28	$79.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $23.71 / $68.56	Facility		$15.59	$23.71	$68.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $15.59 / $39.43	Professional		$9.35	$15.59	$39.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $31.76 / $47.30	Facility		$19.09	$31.76	$47.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $31.76 / $42.12	Professional		$18.73	$31.76	$42.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $11.34 / $37.76	Professional		$9.35	$11.34	$37.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $15.59 / $15.59	Professional		$12.32	$15.59	$15.59