Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $28.06 / $50.43	Facility		$12.80	$28.06	$50.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $9.14 / $32.08	Professional		$7.83	$9.14	$32.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $20.77 / $84.62	Professional		$11.87	$20.77	$84.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $19.89 / $56.98	Facility		$11.87	$19.89	$56.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $12.23 / $32.14	Professional		$7.12	$12.23	$32.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $24.19 / $37.21	Facility		$14.54	$24.19	$37.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $24.19 / $34.00	Professional		$14.26	$24.19	$34.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $9.94 / $28.75	Professional		$7.12	$9.94	$28.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $11.87 / $11.87	Professional		$9.38	$11.87	$11.87