Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $34.07 / $99.98	Facility		$11.95	$34.07	$99.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $6.29 / $52.53	Professional		$6.29	$6.29	$52.53
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 $8.17 / $14.30 / $51.80	Professional		$8.17	$14.30	$51.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $14.54 / $62.16	Facility		$8.17	$14.54	$62.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $11.21 / $22.40	Professional		$8.17	$11.21	$22.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $16.64 / $25.61	Facility		$9.81	$16.64	$25.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $16.34 / $23.27	Professional		$9.80	$16.34	$23.27
United Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $8.17 / $18.70	Professional		$8.17	$8.17	$18.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $8.17 / $8.17	Professional		$6.45	$8.17	$8.17