Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $18.47 / $45.93	Facility		$12.43	$18.47	$45.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $8.32 / $69.51	Professional		$7.13	$8.32	$69.51
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 $10.81 / $18.92 / $166.38	Professional		$10.81	$18.92	$166.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $18.13 / $52.13	Facility		$10.81	$18.13	$52.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $11.13 / $29.84	Professional		$6.49	$11.13	$29.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $22.03 / $33.89	Facility		$13.24	$22.03	$33.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $22.03 / $30.98	Professional		$12.98	$22.03	$30.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $8.83 / $27.34	Professional		$6.49	$8.83	$27.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $10.81 / $10.81	Professional		$8.53	$10.81	$10.81