Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $22.78 / $57.96	Facility		$10.39	$22.78	$57.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $7.42 / $7.42	Professional		$4.48	$7.42	$7.42
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 $9.64 / $16.87 / $31.57	Professional		$9.64	$16.87	$31.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $14.22 / $41.23	Facility		$9.64	$14.22	$41.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $12.00 / $24.38	Professional		$9.64	$12.00	$24.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $17.68 / $29.89	Facility		$10.38	$17.68	$29.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $17.68 / $25.16	Professional		$11.57	$17.68	$25.16
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $21.10	Professional		$9.64	$9.64	$21.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $9.64 / $9.64	Professional		$7.62	$9.64	$9.64