Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $26.62 / $46.08	Facility		$12.14	$26.62	$46.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $8.67 / $30.43	Professional		$7.43	$8.67	$30.43
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 $11.26 / $19.71 / $65.67	Professional		$11.26	$19.71	$65.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $17.27 / $55.76	Facility		$11.26	$17.27	$55.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.26 / $31.03	Professional		$6.76	$11.26	$31.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $22.95 / $34.85	Facility		$13.52	$22.95	$34.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $22.52 / $31.03	Professional		$13.51	$22.52	$31.03
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.44 / $25.90	Professional		$6.76	$9.44	$25.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.26 / $11.26	Professional		$8.90	$11.26	$11.26