Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $58.53 / $114.00	Facility		$20.21	$58.53	$114.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $10.64 / $71.00	Professional		$10.64	$10.64	$71.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $25.46 / $31.82	Professional		$16.11	$25.46	$31.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $24.19 / $74.51	Professional		$13.82	$24.19	$74.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $20.11 / $58.23	Facility		$13.82	$20.11	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $13.82 / $34.52	Professional		$8.28	$13.82	$34.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $25.35 / $43.33	Facility		$14.69	$25.35	$43.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $25.35 / $36.07	Professional		$16.57	$25.35	$36.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $10.06 / $33.50	Professional		$8.28	$10.06	$33.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $13.82 / $13.82	Professional		$10.92	$13.82	$13.82