Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $30.02 / $42.62	Facility		$13.69	$30.02	$42.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $9.77 / $10.25	Professional		$8.38	$9.77	$10.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $22.85 / $28.56	Professional		$14.46	$22.85	$28.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $22.23 / $26.79	Professional		$12.70	$22.23	$26.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.70 / $16.82 / $48.53	Facility		$12.70	$16.82	$48.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $14.65 / $28.90	Professional		$12.70	$14.65	$28.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $23.28 / $36.09	Facility		$12.29	$23.28	$36.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $23.00 / $33.15	Professional		$15.17	$23.00	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $12.70 / $28.01	Professional		$12.70	$12.70	$28.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.70 / $12.70	Professional		$10.02	$12.70	$12.70