Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $17.04 / $73.14	Facility		$10.98	$17.04	$73.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $7.35 / $25.80	Professional		$6.30	$7.35	$25.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $17.63 / $22.03	Professional		$11.15	$17.63	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.71 / $23.99	Professional		$9.55	$16.71	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $12.33 / $33.94	Facility		$9.55	$12.33	$33.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $9.55 / $21.97	Professional		$5.73	$9.55	$21.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $17.50 / $26.15	Facility		$8.69	$17.50	$26.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $17.12 / $24.93	Professional		$10.73	$17.12	$24.93
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $19.82	Professional		$5.73	$5.73	$19.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $9.55 / $9.55	Professional		$7.54	$9.55	$9.55