Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $32.36 / $45.71	Facility		$12.02	$32.36	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $107.15	Professional		$10.96	$14.13	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $40.74	Professional		$23.99	$32.36	$40.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $29.51 / $151.36	Professional		$18.62	$29.51	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.89 / $45.71	Facility		$16.98	$20.89	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $45.71	Professional		$10.00	$15.14	$45.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $21.88	Professional		$20.42	$20.42	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $37.15	Facility		$16.98	$16.98	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $40.74	Professional		$10.00	$12.59	$40.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.98 / $16.98	Professional		$13.18	$16.98	$16.98