Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $33.57 / $78.48	Facility		$6.76	$33.57	$78.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $8.39 / $37.00	Professional		$4.42	$8.39	$37.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.44 / $13.06	Professional		$6.61	$10.44	$13.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $10.05 / $28.60	Professional		$5.74	$10.05	$28.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.74 / $9.65 / $27.90	Facility		$5.74	$9.65	$27.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $5.74 / $14.98	Professional		$3.44	$5.74	$14.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.04 / $11.70 / $17.98	Facility		$7.04	$11.70	$17.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $11.70 / $16.46	Professional		$6.90	$11.70	$16.46
United Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.82 / $14.52	Professional		$3.44	$4.82	$14.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $5.74 / $5.74	Professional		$4.53	$5.74	$5.74