Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $21.55 / $46.23	Facility		$8.60	$21.55	$46.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $6.14 / $21.55	Professional		$5.26	$6.14	$21.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $15.01 / $18.77	Professional		$9.50	$15.01	$18.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $13.95 / $39.15	Professional		$7.97	$13.95	$39.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.97 / $13.37 / $38.83	Facility		$7.97	$13.37	$38.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $8.21 / $22.00	Professional		$4.78	$8.21	$22.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.23 / $24.99	Facility		$9.77	$16.23	$24.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $16.23 / $22.85	Professional		$9.57	$16.23	$22.85
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $6.68 / $19.29	Professional		$4.78	$6.68	$19.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $7.97 / $7.97	Professional		$6.30	$7.97	$7.97