Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $28.76 / $29.62	Facility		$13.72	$28.76	$29.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $51.10 / $1,693.56	Professional		$7.95	$51.10	$1,693.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $10.35 / $11.77	Professional		$9.41	$10.35	$11.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $20.89 / $46.02	Professional		$7.95	$20.89	$46.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $11.10 / $28.76	Facility		$9.09	$11.10	$28.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $9.09 / $17.00	Professional		$9.09	$9.09	$17.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $13.88 / $19.14	Facility		$10.91	$13.88	$19.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $13.59 / $25.77	Professional		$10.55	$13.59	$25.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $8.75	Professional		$7.95	$7.95	$8.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $9.09 / $9.09	Facility		$9.09	$9.09	$9.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $9.09 / $9.09	Professional		$9.09	$9.09	$9.09