Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $43.28 / $264.64	Facility		$22.68	$43.28	$264.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $11.94 / $103.00	Professional		$10.31	$11.94	$103.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $28.07 / $35.09	Professional		$17.76	$28.07	$35.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $23.25 / $146.51	Professional		$15.50	$23.25	$146.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $26.42 / $74.37	Facility		$15.50	$26.42	$74.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $21.65 / $42.78	Professional		$15.50	$21.65	$42.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $31.58 / $48.55	Facility		$18.98	$31.58	$48.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $31.58 / $44.65	Professional		$18.62	$31.58	$44.65
United Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $15.50 / $15.50	Facility		$15.50	$15.50	$15.50
United Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $15.50 / $35.47	Professional		$15.50	$15.50	$35.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.50 / $15.50	Professional		$12.25	$15.50	$15.50