Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $28.10 / $94.00	Facility		$11.13	$28.10	$94.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $18.38 / $165.44	Professional		$7.95	$18.38	$165.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $18.93 / $23.66	Professional		$11.98	$18.93	$23.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $18.05 / $48.10	Professional		$10.32	$18.05	$48.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $17.30 / $43.28	Facility		$10.32	$17.30	$43.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $10.32 / $28.48	Professional		$6.19	$10.32	$28.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $21.04 / $32.35	Facility		$12.65	$21.04	$32.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $21.04 / $29.59	Professional		$12.38	$21.04	$29.59
United Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $8.65 / $25.00	Professional		$6.19	$8.65	$25.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $10.32 / $10.32	Professional		$8.15	$10.32	$10.32