Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.92 / $66.65 / $147.00	Facility		$16.92	$66.65	$147.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $24.41 / $147.00	Professional		$7.52	$24.41	$147.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $17.63 / $22.03	Professional		$11.15	$17.63	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.66 / $56.56	Professional		$9.77	$14.66	$56.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $30.63 / $112.65	Facility		$12.60	$30.63	$112.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $9.77 / $30.00	Professional		$5.86	$9.77	$30.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $17.92 / $34.75	Facility		$11.74	$17.92	$34.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $18.00 / $30.63	Professional		$10.16	$18.00	$30.63
United Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $7.91 / $24.71	Professional		$5.86	$7.91	$24.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $9.77 / $9.77	Professional		$7.72	$9.77	$9.77