Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $34.51 / $62.05	Facility		$15.74	$34.51	$62.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $11.24 / $39.45	Professional		$9.64	$11.24	$39.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $25.55 / $86.34	Professional		$14.60	$25.55	$86.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $24.47 / $70.34	Facility		$14.60	$24.47	$70.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $15.04 / $39.90	Professional		$8.76	$15.04	$39.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $29.75 / $45.77	Facility		$17.88	$29.75	$45.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $29.75 / $41.83	Professional		$17.54	$29.75	$41.83
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $12.23 / $65.80	Professional		$8.76	$12.23	$65.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $14.60 / $14.60	Professional		$11.53	$14.60	$14.60