Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $31.19 / $103.78	Facility		$14.22	$31.19	$103.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.16 / $35.65	Professional		$8.71	$10.16	$35.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $23.08 / $35.36	Professional		$13.19	$23.08	$35.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $22.12 / $63.09	Facility		$13.19	$22.12	$63.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $13.59 / $35.47	Professional		$7.91	$13.59	$35.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $26.86 / $41.35	Facility		$16.16	$26.86	$41.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $26.86 / $37.79	Professional		$15.84	$26.86	$37.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $7.91 / $27.10	Professional		$7.91	$7.91	$27.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $13.19 / $13.19	Professional		$10.42	$13.19	$13.19