Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $37.79 / $56.05	Facility		$17.23	$37.79	$56.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $12.31 / $43.21	Professional		$10.55	$12.31	$43.21
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 $15.99 / $27.98 / $69.06	Professional		$15.99	$27.98	$69.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $22.12 / $63.09	Facility		$15.99	$22.12	$63.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $15.99 / $37.99	Professional		$9.59	$15.99	$37.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $29.32 / $47.30	Facility		$16.16	$29.32	$47.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $29.32 / $41.73	Professional		$19.19	$29.32	$41.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $11.14 / $59.48	Professional		$9.59	$11.14	$59.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $15.99 / $15.99	Professional		$12.63	$15.99	$15.99