Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $15.71 / $21.98	Facility		$8.08	$15.71	$21.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $6.22 / $6.22	Professional		$5.33	$6.22	$6.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $15.01 / $18.77	Professional		$9.50	$15.01	$18.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $11.72 / $14.62	Professional		$6.87	$11.72	$14.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $10.50 / $31.56	Facility		$8.08	$10.50	$31.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $20.85	Professional		$4.84	$4.84	$20.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $14.14 / $22.22	Facility		$9.69	$14.14	$22.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $14.14 / $20.85	Professional		$9.69	$14.14	$20.85
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $16.54	Professional		$4.84	$4.84	$16.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $8.08 / $8.08	Professional		$6.38	$8.08	$8.08