Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $23.15 / $36.85	Facility		$13.99	$23.15	$36.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $9.99 / $83.46	Professional		$8.57	$9.99	$83.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $18.17 / $140.62	Professional		$12.89	$18.17	$140.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $16.75 / $35.47	Facility		$9.61	$16.75	$35.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $12.98 / $32.83	Professional		$4.57	$12.98	$32.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $18.17 / $28.46	Facility		$15.58	$18.17	$28.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.64 / $33.88	Professional		$15.00	$19.64	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $7.79 / $26.70	Professional		$4.70	$7.79	$26.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $12.98 / $12.98	Professional		$10.25	$12.98	$12.98