Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $130.24 / $503.17	Facility		$15.80	$130.24	$503.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $8.32 / $69.44	Professional		$7.13	$8.32	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $19.57 / $24.48	Professional		$12.39	$19.57	$24.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $18.89 / $67.84	Professional		$10.80	$18.89	$67.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $18.12 / $52.13	Facility		$10.80	$18.12	$52.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $11.12 / $29.81	Professional		$6.48	$11.12	$29.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $22.01 / $33.86	Facility		$13.23	$22.01	$33.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $22.01 / $30.95	Professional		$12.97	$22.01	$30.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $9.06 / $26.16	Professional		$6.48	$9.06	$26.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.80 / $10.80	Professional		$8.52	$10.80	$10.80