Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $36.63 / $103.21	Facility		$17.00	$36.63	$103.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $11.93 / $99.60	Professional		$11.93	$11.93	$99.60
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 $15.49 / $27.11 / $135.13	Professional		$15.49	$27.11	$135.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.97 / $75.18	Facility		$15.49	$25.97	$75.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $15.49 / $42.12	Professional		$9.28	$15.49	$42.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $31.56 / $48.56	Facility		$18.60	$31.56	$48.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $30.98 / $42.12	Professional		$18.59	$30.98	$42.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $12.98 / $43.26	Professional		$9.28	$12.98	$43.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $15.49 / $15.49	Professional		$12.24	$15.49	$15.49