Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $26.17 / $59.00	Facility		$13.96	$26.17	$59.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $9.97 / $18.94	Professional		$8.55	$9.97	$18.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $20.18 / $92.51	Professional		$12.95	$20.18	$92.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $16.84 / $43.70	Facility		$12.95	$16.84	$43.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $13.13 / $33.00	Professional		$7.01	$13.13	$33.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $23.84 / $35.47	Facility		$15.86	$23.84	$35.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $26.39 / $33.79	Professional		$15.54	$26.39	$33.79
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.77 / $29.79	Professional		$7.23	$7.77	$29.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.95 / $12.95	Professional		$10.23	$12.95	$12.95