Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $37.45 / $67.31	Facility		$17.07	$37.45	$67.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $12.20 / $101.85	Professional		$10.45	$12.20	$101.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $28.72 / $35.90	Professional		$18.17	$28.72	$35.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $27.72 / $130.09	Professional		$15.84	$27.72	$130.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $26.57 / $76.39	Facility		$15.84	$26.57	$76.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $16.32 / $43.23	Professional		$9.50	$16.32	$43.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $32.27 / $49.66	Facility		$19.39	$32.27	$49.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $32.27 / $45.38	Professional		$19.03	$32.27	$45.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $10.56 / $36.43	Professional		$9.50	$10.56	$36.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $15.84 / $15.84	Professional		$12.51	$15.84	$15.84