Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $23.27 / $32.95	Facility		$10.61	$23.27	$32.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $7.58 / $26.61	Professional		$6.50	$7.58	$26.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $17.63 / $22.03	Professional		$11.15	$17.63	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $17.23 / $81.41	Professional		$9.85	$17.23	$81.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $15.17 / $47.31	Facility		$9.85	$15.17	$47.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $9.85 / $27.19	Professional		$5.91	$9.85	$27.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $20.05 / $30.88	Facility		$11.83	$20.05	$30.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $19.69 / $27.72	Professional		$11.82	$19.69	$27.72
United Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $8.02 / $23.85	Professional		$5.91	$8.02	$23.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $9.85 / $9.85	Professional		$7.78	$9.85	$9.85