Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $35.00 / $62.89	Facility		$15.96	$35.00	$62.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.40 / $40.01	Professional		$9.77	$11.40	$40.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $25.90 / $107.35	Professional		$14.80	$25.90	$107.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $24.82 / $71.56	Facility		$14.80	$24.82	$71.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $15.24 / $39.90	Professional		$8.88	$15.24	$39.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $30.14 / $46.40	Facility		$18.13	$30.14	$46.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $30.14 / $42.40	Professional		$17.77	$30.14	$42.40
United Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $12.41 / $34.04	Professional		$8.88	$12.41	$34.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $14.80 / $14.80	Professional		$11.69	$14.80	$14.80