Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $21.88 / $31.05	Facility		$12.12	$21.88	$31.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $8.66 / $30.40	Professional		$7.43	$8.66	$30.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $14.63 / $19.69	Professional		$11.25	$14.63	$19.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $13.51 / $28.80	Facility		$8.43	$13.51	$28.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $8.57 / $24.66	Professional		$4.61	$8.57	$24.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $15.54 / $24.66	Facility		$6.73	$15.54	$24.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $14.79 / $24.66	Professional		$8.77	$14.79	$24.66
United Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $6.75 / $23.45	Professional		$4.73	$6.75	$23.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $11.25 / $11.25	Professional		$8.89	$11.25	$11.25