Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $21.90 / $72.14	Facility		$15.37	$21.90	$72.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $12.29 / $65.00	Professional		$8.09	$12.29	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $18.93 / $23.66	Professional		$11.98	$18.93	$23.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $18.38 / $27.73	Professional		$10.50	$18.38	$27.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $14.75 / $40.47	Facility		$10.50	$14.75	$40.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $10.50 / $26.55	Professional		$6.30	$10.50	$26.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $19.43 / $27.39	Facility		$11.69	$19.43	$27.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $19.43 / $27.39	Professional		$12.60	$19.43	$27.39
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.36 / $21.36	Professional		$6.30	$6.36	$21.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $10.50 / $10.50	Professional		$8.30	$10.50	$10.50