Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $33.77 / $59.30	Facility		$15.40	$33.77	$59.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $11.00 / $18.79	Professional		$9.43	$11.00	$18.79
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 $14.29 / $25.01 / $125.82	Professional		$14.29	$25.01	$125.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $21.91 / $69.13	Facility		$14.29	$21.91	$69.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $14.29 / $38.79	Professional		$8.57	$14.29	$38.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $29.11 / $44.80	Facility		$17.50	$29.11	$44.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $29.11 / $40.19	Professional		$17.14	$29.11	$40.19
United Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $11.69 / $36.14	Professional		$8.57	$11.69	$36.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $14.29 / $14.29	Professional		$11.29	$14.29	$14.29