Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $19.00 / $47.31	Facility		$10.53	$19.00	$47.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.52 / $200.64	Professional		$6.45	$7.52	$200.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $17.63 / $22.03	Professional		$11.15	$17.63	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.70 / $48.10	Professional		$9.33	$12.70	$48.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $12.60 / $42.45	Facility		$7.06	$12.60	$42.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $9.77 / $22.47	Professional		$3.34	$9.77	$22.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $13.69 / $24.38	Facility		$10.69	$13.69	$24.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $16.05 / $24.38	Professional		$10.69	$16.05	$24.38
United Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $5.86 / $39.36	Professional		$3.34	$5.86	$39.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $9.77 / $9.77	Professional		$7.72	$9.77	$9.77