Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $38.06 / $171.03	Facility		$15.86	$38.06	$171.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $10.62 / $73.87	Professional		$9.10	$10.62	$73.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $25.46 / $31.82	Professional		$16.11	$25.46	$31.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $24.13 / $87.15	Professional		$13.79	$24.13	$87.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $20.95 / $60.64	Facility		$13.79	$20.95	$60.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $13.88 / $34.90	Professional		$8.27	$13.88	$34.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.31 / $25.46 / $43.23	Facility		$15.31	$25.46	$43.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $25.46 / $35.99	Professional		$16.55	$25.46	$35.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $10.48 / $31.72	Professional		$8.27	$10.48	$31.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $13.79 / $13.79	Professional		$10.89	$13.79	$13.79