Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $29.96 / $51.97	Facility		$13.66	$29.96	$51.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $9.76 / $34.26	Professional		$8.36	$9.76	$34.26
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 $12.67 / $22.17 / $60.44	Professional		$12.67	$22.17	$60.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $21.24 / $60.64	Facility		$12.67	$21.24	$60.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $13.05 / $34.36	Professional		$7.60	$13.05	$34.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $25.82 / $39.72	Facility		$15.22	$25.82	$39.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $25.34 / $34.36	Professional		$15.20	$25.34	$34.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $8.44 / $30.69	Professional		$7.60	$8.44	$30.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $12.67 / $12.67	Professional		$10.01	$12.67	$12.67