Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $54.12 / $119.47	Facility		$9.67	$54.12	$119.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $5.09 / $42.50	Professional		$4.36	$5.09	$42.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.75 / $14.69	Professional		$7.43	$11.75	$14.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $11.57 / $55.51	Professional		$6.61	$11.57	$55.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $11.28 / $41.36	Facility		$6.61	$11.28	$41.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $6.61 / $17.25	Professional		$3.97	$6.61	$17.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $13.48 / $20.72	Facility		$8.10	$13.48	$20.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.48 / $18.94	Professional		$7.94	$13.48	$18.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $5.54 / $16.72	Professional		$3.97	$5.54	$16.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $6.61 / $6.61	Professional		$5.22	$6.61	$6.61