Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $21.35 / $7,693.64	Facility		$21.35	$21.35	$7,693.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $21.35 / $40.32	Professional		$15.61	$21.35	$40.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $15.86 / $19.82	Professional		$15.86	$15.86	$19.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $27.96 / $40.67	Professional		$15.61	$27.96	$40.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $18.68 / $26.10	Facility		$15.55	$18.68	$26.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.55 / $23.40	Professional		$15.55	$15.55	$23.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $23.40 / $36.65	Facility		$17.91	$23.40	$36.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $18.66 / $38.40	Professional		$17.39	$18.66	$38.40
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $16.07	Professional		$15.61	$15.61	$16.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $15.55 / $15.55	Facility		$15.55	$15.55	$15.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.55 / $15.55	Professional		$15.55	$15.55	$15.55