Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $30.08 / $40.31	Facility		$13.75	$30.08	$40.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $9.82 / $34.47	Professional		$8.42	$9.82	$34.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $22.85 / $28.56	Professional		$14.46	$22.85	$28.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $22.31 / $34.10	Professional		$12.75	$22.31	$34.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $17.29 / $55.77	Facility		$12.75	$17.29	$55.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $12.93 / $32.14	Professional		$7.65	$12.93	$32.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $23.71 / $33.61	Facility		$14.26	$23.71	$33.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $23.71 / $33.28	Professional		$15.30	$23.71	$33.28
United Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.95 / $28.19	Professional		$7.65	$7.95	$28.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $12.75 / $12.75	Professional		$10.07	$12.75	$12.75