Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $20.99 / $139.30	Facility		$11.28	$20.99	$139.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $5.94 / $49.00	Professional		$5.94	$5.94	$49.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $14.36 / $17.95	Professional		$9.09	$14.36	$17.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $13.49 / $48.10	Professional		$7.71	$13.49	$48.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $12.92 / $36.27	Facility		$7.71	$12.92	$36.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $7.94 / $21.28	Professional		$4.63	$7.94	$21.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $15.71 / $24.17	Facility		$9.44	$15.71	$24.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $15.71 / $22.18	Professional		$9.26	$15.71	$22.18
United Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $6.46 / $34.76	Professional		$4.63	$6.46	$34.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $7.71 / $7.71	Professional		$6.09	$7.71	$7.71