Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $21.12 / $167.99	Facility		$9.63	$21.12	$167.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.88 / $24.15	Professional		$5.89	$6.88	$24.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $16.32 / $20.39	Professional		$10.33	$16.32	$20.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $15.63 / $65.67	Professional		$8.93	$15.63	$65.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.93 / $14.98 / $43.65	Facility		$8.93	$14.98	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $8.93 / $24.65	Professional		$5.36	$8.93	$24.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $18.19 / $28.00	Facility		$10.72	$18.19	$28.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.86 / $25.49	Professional		$10.72	$17.86	$25.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $7.49 / $20.54	Professional		$5.36	$7.49	$20.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $8.93 / $8.93	Professional		$7.05	$8.93	$8.93