Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $38.96 / $112.59	Facility		$15.54	$38.96	$112.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $11.10 / $92.66	Professional		$9.51	$11.10	$92.66
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 $14.41 / $25.22 / $103.57	Professional		$14.41	$25.22	$103.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $24.14 / $69.13	Facility		$14.41	$24.14	$69.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $14.84 / $38.79	Professional		$8.65	$14.84	$38.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $29.36 / $45.18	Facility		$17.64	$29.36	$45.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $29.36 / $41.27	Professional		$17.29	$29.36	$41.27
United Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $12.07 / $34.90	Professional		$8.65	$12.07	$34.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $14.41 / $14.41	Professional		$11.38	$14.41	$14.41