Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $21.78 / $47.59	Facility		$11.00	$21.78	$47.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $8.61 / $30.26	Professional		$7.39	$8.61	$30.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $19.60 / $52.66	Professional		$11.20	$19.60	$52.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $18.77 / $54.57	Facility		$11.20	$18.77	$54.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $11.54 / $30.91	Professional		$6.72	$11.54	$30.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $22.80 / $35.11	Facility		$13.72	$22.80	$35.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $22.80 / $31.03	Professional		$13.45	$22.80	$31.03
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.38 / $27.12	Professional		$6.72	$9.38	$27.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $11.20 / $11.20	Professional		$8.85	$11.20	$11.20