Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $71.78 / $187.85	Facility		$12.31	$71.78	$187.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $9.36 / $61.00	Professional		$6.48	$9.36	$61.00
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 $8.41 / $14.32 / $43.17	Professional		$8.41	$14.32	$43.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $11.74 / $40.03	Facility		$8.41	$11.74	$40.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $8.41 / $21.28	Professional		$4.97	$8.41	$21.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $16.43 / $23.27	Facility		$10.29	$16.43	$23.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $17.12 / $21.95	Professional		$10.09	$17.12	$21.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $16.36	Professional		$5.05	$5.05	$16.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $8.41 / $8.41	Professional		$6.64	$8.41	$8.41