Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $31.41 / $56.43	Facility		$14.32	$31.41	$56.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $10.23 / $35.90	Professional		$8.76	$10.23	$35.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $19.92 / $49.25	Professional		$14.61	$19.92	$49.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $17.97 / $63.08	Facility		$13.28	$17.97	$63.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $13.28 / $35.93	Professional		$7.97	$13.28	$35.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $27.06 / $37.99	Facility		$16.26	$27.06	$37.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $27.06 / $36.60	Professional		$15.94	$27.06	$36.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $8.85 / $32.15	Professional		$7.97	$8.85	$32.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $13.28 / $13.28	Professional		$10.49	$13.28	$13.28