Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $20.95 / $44.10	Facility		$9.27	$20.95	$44.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $6.21 / $21.80	Professional		$5.32	$6.21	$21.80
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 $8.06 / $14.11 / $47.99	Professional		$8.06	$14.11	$47.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $13.52 / $38.83	Facility		$8.06	$13.52	$38.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.30 / $22.25	Professional		$4.84	$8.30	$22.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $16.44 / $25.27	Facility		$9.86	$16.44	$25.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $16.44 / $23.27	Professional		$9.67	$16.44	$23.27
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.76 / $19.53	Professional		$4.84	$6.76	$19.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $8.06 / $8.06	Professional		$6.37	$8.06	$8.06