Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $32.57 / $143.56	Facility		$12.99	$32.57	$143.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $9.27 / $9.27	Professional		$7.95	$9.27	$9.27
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 / $284.18	Professional		$13.26	$18.07	$284.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $15.67 / $60.00	Facility		$12.05	$15.67	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $40.32	Professional		$11.04	$11.04	$40.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $21.09 / $70.63	Facility		$14.48	$21.09	$70.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $24.82 / $40.32	Professional		$14.46	$24.82	$40.32
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $34.04	Professional		$11.04	$11.04	$34.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $12.05 / $12.05	Professional		$9.52	$12.05	$12.05