Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $23.36 / $35.61	Facility		$14.11	$23.36	$35.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $10.08 / $35.38	Professional		$8.64	$10.08	$35.38
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 $11.38 / $17.02 / $74.01	Professional		$11.38	$17.02	$74.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $16.89 / $38.79	Facility		$8.32	$16.89	$38.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $13.09 / $34.71	Professional		$4.07	$13.09	$34.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $17.36 / $28.69	Facility		$15.71	$17.36	$28.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $21.44 / $34.15	Professional		$13.31	$21.44	$34.15
United Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $7.85 / $30.11	Professional		$4.19	$7.85	$30.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $13.09 / $13.09	Professional		$10.34	$13.09	$13.09