Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $25.14 / $42.38	Facility		$11.47	$25.14	$42.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $8.19 / $28.75	Professional		$7.02	$8.19	$28.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $19.57 / $24.48	Professional		$12.39	$19.57	$24.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $18.60 / $83.88	Professional		$10.63	$18.60	$83.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.63 / $17.44 / $49.71	Facility		$10.63	$17.44	$49.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $10.95 / $28.81	Professional		$6.38	$10.95	$28.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $21.19 / $33.33	Facility		$12.74	$21.19	$33.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $20.81 / $28.81	Professional		$12.76	$20.81	$28.81
United Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $8.72 / $46.89	Professional		$6.38	$8.72	$46.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $10.63 / $10.63	Professional		$8.40	$10.63	$10.63