Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.21 / $22.38 / $35.94	Facility		$10.21	$22.38	$35.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $7.29 / $14.69	Professional		$6.25	$7.29	$14.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $16.97 / $21.22	Professional		$10.74	$16.97	$21.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $16.57 / $53.04	Professional		$9.47	$16.57	$53.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $13.06 / $41.23	Facility		$9.47	$13.06	$41.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $9.47 / $24.38	Professional		$5.68	$9.47	$24.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $17.37 / $29.69	Facility		$10.36	$17.37	$29.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $17.37 / $24.72	Professional		$11.36	$17.37	$24.72
United Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $5.68 / $21.78	Professional		$5.68	$5.68	$21.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $9.47 / $9.47	Professional		$7.48	$9.47	$9.47