Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $13.26 / $69.75	Facility		$8.08	$13.26	$69.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $5.25 / $43.85	Professional		$4.50	$5.25	$43.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $12.40 / $15.50	Professional		$7.85	$12.40	$15.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $11.94 / $56.74	Professional		$6.82	$11.94	$56.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.82 / $11.64 / $36.10	Facility		$6.82	$11.64	$36.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $6.82 / $18.00	Professional		$4.09	$6.82	$18.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.35 / $13.89 / $21.38	Facility		$8.35	$13.89	$21.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $13.89 / $19.96	Professional		$8.19	$13.89	$19.96
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.18 / $15.69	Professional		$4.09	$4.18	$15.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $6.82 / $6.82	Professional		$5.39	$6.82	$6.82