Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $41.18 / $41.18	Facility		$16.64	$41.18	$41.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $41.18 / $3,879.00	Professional		$11.04	$41.18	$3,879.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Facility		$11.25	$11.25	$11.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $12.92 / $13.73	Professional		$10.99	$12.92	$13.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $29.27 / $76.77	Professional		$11.04	$29.27	$76.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $12.92 / $41.18	Facility		$11.03	$12.92	$41.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $24.29	Professional		$11.03	$11.03	$24.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $16.97 / $25.91	Facility		$12.92	$16.97	$25.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $18.94 / $47.29	Professional		$12.13	$18.94	$47.29
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.26	Professional		$11.04	$11.04	$11.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Facility		$11.03	$11.03	$11.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.03 / $11.03	Professional		$11.03	$11.03	$11.03