Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $72.63 / $158.35	Facility		$21.00	$72.63	$158.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $29.38 / $88.00	Professional		$12.97	$29.38	$88.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $29.49 / $107.35	Professional		$16.85	$29.49	$107.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $28.25 / $89.00	Facility		$16.85	$28.25	$89.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $16.85 / $46.51	Professional		$10.11	$16.85	$46.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $34.33 / $52.82	Facility		$20.64	$34.33	$52.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $34.33 / $48.26	Professional		$20.22	$34.33	$48.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.12 / $40.81	Professional		$10.11	$14.12	$40.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $16.85 / $16.85	Professional		$13.31	$16.85	$16.85