Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $47.25 / $241.76	Facility		$16.87	$47.25	$241.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $40.63 / $185.35	Professional		$9.86	$40.63	$185.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $11.02 / $11.67	Professional		$9.34	$11.02	$11.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $17.85 / $133.61	Professional		$9.86	$17.85	$133.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.83 / $18.47 / $53.22	Facility		$10.83	$18.47	$53.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $49.36	Professional		$9.02	$9.02	$49.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.83 / $13.22 / $42.39	Facility		$10.83	$13.22	$42.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $34.39 / $83.99	Professional		$10.83	$34.39	$83.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $10.16	Professional		$9.86	$9.86	$10.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Facility		$9.02	$9.02	$9.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02