Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $30.24 / $54.40	Facility		$14.71	$30.24	$54.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $9.85 / $34.57	Professional		$8.44	$9.85	$34.57
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 $12.79 / $22.38 / $69.06	Professional		$12.79	$22.38	$69.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $19.80 / $58.60	Facility		$12.79	$19.80	$58.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $13.17 / $35.29	Professional		$7.67	$13.17	$35.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $26.07 / $40.10	Facility		$15.68	$26.07	$40.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $26.07 / $36.67	Professional		$15.37	$26.07	$36.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $10.73 / $32.35	Professional		$7.67	$10.73	$32.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $12.79 / $12.79	Professional		$10.10	$12.79	$12.79