Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $27.07 / $367.20	Facility		$8.77	$27.07	$367.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.84 / $68.64	Professional		$6.72	$7.84	$68.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $18.28 / $22.85	Professional		$11.56	$18.28	$22.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $15.59 / $94.98	Professional		$10.18	$15.59	$94.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $13.23 / $33.71	Facility		$10.18	$13.23	$33.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $10.18 / $26.00	Professional		$5.42	$10.18	$26.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $18.29 / $27.72	Facility		$12.47	$18.29	$27.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $20.74 / $26.57	Professional		$12.22	$20.74	$26.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $6.11 / $20.92	Professional		$5.59	$6.11	$20.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $10.18 / $10.18	Professional		$8.03	$10.18	$10.18