Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $34.28 / $208.12	Facility		$12.60	$34.28	$208.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $14.13 / $45.97	Professional		$9.69	$14.13	$45.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $22.85 / $28.56	Professional		$14.46	$22.85	$28.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $18.89 / $32.17	Professional		$10.71	$18.89	$32.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $23.10 / $65.12	Facility		$12.60	$23.10	$65.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $12.60 / $31.42	Professional		$7.56	$12.60	$31.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.13 / $23.10 / $32.26	Facility		$15.13	$23.10	$32.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $23.10 / $32.13	Professional		$15.12	$23.10	$32.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $8.98 / $28.98	Professional		$7.56	$8.98	$28.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $12.60 / $12.60	Professional		$9.94	$12.60	$12.60