Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.42 / $16.27 / $27.51	Facility		$7.42	$16.27	$27.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $5.30 / $18.60	Professional		$4.54	$5.30	$18.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $12.40 / $15.50	Professional		$7.85	$12.40	$15.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $12.04 / $25.90	Professional		$6.88	$12.04	$25.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $10.85 / $29.47	Facility		$6.88	$10.85	$29.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $7.09 / $17.96	Professional		$4.13	$7.09	$17.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.93 / $13.16 / $21.57	Facility		$7.93	$13.16	$21.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $13.16 / $18.54	Professional		$8.26	$13.16	$18.54
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.42 / $15.82	Professional		$4.13	$5.42	$15.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $6.88 / $6.88	Professional		$5.44	$6.88	$6.88