Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $33.86 / $60.83	Facility		$15.44	$33.86	$60.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.03 / $38.72	Professional		$9.44	$11.03	$38.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $25.06 / $85.11	Professional		$14.32	$25.06	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $24.01 / $69.13	Facility		$14.32	$24.01	$69.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $14.75 / $38.79	Professional		$8.59	$14.75	$38.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $29.17 / $44.89	Facility		$17.53	$29.17	$44.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $29.17 / $41.03	Professional		$17.20	$29.17	$41.03
United Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $12.01 / $32.94	Professional		$8.59	$12.01	$32.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $14.32 / $14.32	Professional		$11.31	$14.32	$14.32