Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $25.39 / $35.13	Facility		$11.58	$25.39	$35.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $8.27 / $29.03	Professional		$7.09	$8.27	$29.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $19.57 / $24.48	Professional		$12.39	$19.57	$24.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $18.80 / $29.05	Professional		$10.74	$18.80	$29.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $13.96 / $40.03	Facility		$10.74	$13.96	$40.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $10.74 / $24.70	Professional		$6.44	$10.74	$24.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $19.70 / $28.64	Facility		$10.13	$19.70	$28.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $18.69 / $28.03	Professional		$12.51	$18.69	$28.03
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.75 / $23.41	Professional		$6.44	$6.75	$23.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $10.74 / $10.74	Professional		$8.48	$10.74	$10.74