Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $21.80 / $39.19	Facility		$9.94	$21.80	$39.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $7.10 / $24.92	Professional		$6.09	$7.10	$24.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $16.97 / $21.22	Professional		$10.74	$16.97	$21.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $16.14 / $64.14	Professional		$9.22	$16.14	$64.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $15.47 / $44.64	Facility		$9.22	$15.47	$44.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $9.50 / $25.45	Professional		$5.53	$9.50	$25.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $18.80 / $28.90	Facility		$11.30	$18.80	$28.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $18.80 / $26.42	Professional		$11.07	$18.80	$26.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $7.73 / $22.35	Professional		$5.53	$7.73	$22.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $9.22 / $9.22	Professional		$7.28	$9.22	$9.22