Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $44.60 / $354.48	Facility		$11.81	$44.60	$354.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $6.22 / $51.95	Professional		$6.22	$6.22	$51.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $15.01 / $18.77	Professional		$9.50	$15.01	$18.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $14.14 / $41.94	Professional		$8.08	$14.14	$41.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $12.65 / $38.51	Facility		$8.08	$12.65	$38.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.32 / $21.00	Professional		$4.84	$8.32	$21.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $16.45 / $25.33	Facility		$9.90	$16.45	$25.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $16.45 / $23.27	Professional		$9.69	$16.45	$23.27
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $19.55	Professional		$4.84	$4.84	$19.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $8.08 / $8.08	Professional		$6.38	$8.08	$8.08