Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $40.68 / $117.63	Facility		$17.30	$40.68	$117.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $11.59 / $73.87	Professional		$9.93	$11.59	$73.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.42 / $34.27	Professional		$17.35	$27.42	$34.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $26.34 / $65.67	Professional		$15.05	$26.34	$65.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $25.24 / $72.78	Facility		$15.05	$25.24	$72.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.05 / $41.01	Professional		$9.02	$15.05	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $30.67 / $47.18	Facility		$18.44	$30.67	$47.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $30.67 / $41.01	Professional		$18.05	$30.67	$41.01
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.62 / $67.87	Professional		$9.02	$12.62	$67.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $15.05 / $15.05	Professional		$11.89	$15.05	$15.05