Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $27.26 / $48.99	Facility		$12.43	$27.26	$48.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $8.88 / $31.17	Professional		$7.61	$8.88	$31.17
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 $11.53 / $20.18 / $87.58	Professional		$11.53	$20.18	$87.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $19.32 / $55.77	Facility		$11.53	$19.32	$55.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.88 / $31.82	Professional		$6.92	$11.88	$31.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $23.49 / $36.15	Facility		$14.12	$23.49	$36.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $23.49 / $32.14	Professional		$13.85	$23.49	$32.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.66 / $27.93	Professional		$6.92	$9.66	$27.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.53 / $11.53	Professional		$9.11	$11.53	$11.53