Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.32 / $30.72 / $242.01	Facility		$27.32	$30.72	$242.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $20.51 / $30.72	Professional		$15.30	$20.51	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $22.59	Professional		$18.07	$18.07	$22.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $15.30 / $27.69	Professional		$0.52	$15.30	$27.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $16.00 / $30.72	Facility		$1.00	$16.00	$30.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $16.93 / $20.30	Professional		$4.50	$16.93	$20.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $16.00 / $21.31	Facility		$2.00	$16.00	$21.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $14.03 / $21.31	Professional		$1.44	$14.03	$21.31
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $15.76	Professional		$15.30	$15.30	$15.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $16.93 / $16.93	Facility		$16.93	$16.93	$16.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $16.93	Professional		$16.93	$16.93	$16.93