Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.32 / $205.53 / $642.48	Facility		$35.32	$205.53	$642.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $95.00	Professional		$18.59	$18.59	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $19.43 / $23.86	Professional		$19.09	$19.43	$23.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $18.59 / $59.26	Professional		$0.40	$18.59	$59.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $28.83 / $46.58	Facility		$22.31	$28.83	$46.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $28.01	Professional		$18.59	$18.59	$28.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $22.47 / $28.01	Facility		$22.08	$22.47	$28.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $23.97 / $47.58	Professional		$21.29	$23.97	$47.58
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.96	Professional		$18.59	$18.59	$18.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59