Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $27.60 / $52.50	Facility		$12.59	$27.60	$52.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $8.99 / $27.35	Professional		$7.70	$8.99	$27.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $20.42 / $72.78	Professional		$11.67	$20.42	$72.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $18.12 / $55.27	Facility		$11.67	$18.12	$55.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $12.02 / $30.05	Professional		$7.00	$12.02	$30.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $23.77 / $36.59	Facility		$14.30	$23.77	$36.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $23.77 / $32.14	Professional		$14.01	$23.77	$32.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $8.75 / $28.27	Professional		$7.00	$8.75	$28.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $11.67 / $11.67	Professional		$9.22	$11.67	$11.67