Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $24.54 / $101.39	Facility		$10.22	$24.54	$101.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $6.85 / $35.00	Professional		$5.87	$6.85	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.67 / $19.57	Professional		$9.91	$15.67	$19.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $15.56 / $59.36	Professional		$8.89	$15.56	$59.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $13.13 / $60.00	Facility		$8.89	$13.13	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $9.16 / $22.48	Professional		$5.33	$9.16	$22.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $18.10 / $24.38	Facility		$10.88	$18.10	$24.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $18.10 / $23.65	Professional		$10.67	$18.10	$23.65
United Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $5.62 / $20.45	Professional		$5.33	$5.62	$20.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $8.89 / $8.89	Professional		$7.02	$8.89	$8.89