Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $30.27 / $54.43	Facility		$13.80	$30.27	$54.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $9.86 / $34.61	Professional		$8.44	$9.86	$34.61
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 $12.80 / $22.40 / $65.37	Professional		$12.80	$22.40	$65.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $21.47 / $61.86	Facility		$12.80	$21.47	$61.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $13.18 / $35.33	Professional		$7.68	$13.18	$35.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $26.07 / $40.13	Facility		$15.69	$26.07	$40.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $26.07 / $36.69	Professional		$15.38	$26.07	$36.69
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $29.44	Professional		$7.68	$7.68	$29.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $12.80 / $12.80	Professional		$10.11	$12.80	$12.80