Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $27.31 / $36.86	Facility		$14.41	$27.31	$36.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $10.29 / $36.11	Professional		$8.82	$10.29	$36.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $21.05 / $50.57	Professional		$13.36	$21.05	$50.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $17.23 / $41.23	Facility		$13.36	$17.23	$41.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $13.36 / $30.73	Professional		$7.22	$13.36	$30.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $22.41 / $29.89	Facility		$10.55	$22.41	$29.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $22.00 / $29.89	Professional		$13.62	$22.00	$29.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $8.02 / $29.12	Professional		$7.22	$8.02	$29.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $13.36 / $13.36	Professional		$10.55	$13.36	$13.36