Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $27.51 / $49.46	Facility		$12.54	$27.51	$49.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $8.96 / $31.45	Professional		$7.68	$8.96	$31.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $20.35 / $64.14	Professional		$11.63	$20.35	$64.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $19.51 / $55.77	Facility		$11.63	$19.51	$55.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $11.63 / $32.10	Professional		$6.98	$11.63	$32.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $23.71 / $36.46	Facility		$14.26	$23.71	$36.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $23.71 / $33.33	Professional		$13.96	$23.71	$33.33
United Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $9.76 / $28.19	Professional		$6.98	$9.76	$28.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $11.63 / $11.63	Professional		$9.19	$11.63	$11.63