Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $50.89 / $313.50	Facility		$26.54	$50.89	$313.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $31.83 / $179.52	Professional		$13.97	$31.83	$179.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $31.75 / $119.45	Professional		$18.14	$31.75	$119.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $30.42 / $87.34	Facility		$18.14	$30.42	$87.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $18.14 / $49.87	Professional		$10.88	$18.14	$49.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $36.97 / $56.87	Facility		$21.79	$36.97	$56.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $33.25 / $49.87	Professional		$17.00	$33.25	$49.87
United Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $15.21 / $41.72	Professional		$10.88	$15.21	$41.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $18.14 / $18.14	Professional		$14.33	$18.14	$18.14