Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $39.72 / $326.82	Facility		$16.55	$39.72	$326.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $11.08 / $92.53	Professional		$11.08	$11.08	$92.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $25.18 / $98.51	Professional		$14.39	$25.18	$98.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $24.13 / $69.13	Facility		$14.39	$24.13	$69.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $14.82 / $38.79	Professional		$8.63	$14.82	$38.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $29.32 / $45.11	Facility		$17.62	$29.32	$45.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $29.32 / $41.24	Professional		$17.29	$29.32	$41.24
United Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $11.75 / $36.39	Professional		$8.63	$11.75	$36.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $14.39 / $14.39	Professional		$11.37	$14.39	$14.39