Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $32.86 / $92.47	Facility		$12.49	$32.86	$92.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $11.98 / $39.00	Professional		$6.31	$11.98	$39.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $15.01 / $18.77	Professional		$9.50	$15.01	$18.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $14.33 / $35.90	Professional		$8.19	$14.33	$35.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $13.96 / $40.03	Facility		$8.19	$13.96	$40.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $8.19 / $21.38	Professional		$4.91	$8.19	$21.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $16.68 / $25.68	Facility		$10.02	$16.68	$25.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $16.68 / $23.46	Professional		$9.83	$16.68	$23.46
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $6.68 / $19.84	Professional		$4.91	$6.68	$19.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $8.19 / $8.19	Professional		$6.47	$8.19	$8.19