Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $32.43 / $88.51	Facility		$12.94	$32.43	$88.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $9.24 / $32.43	Professional		$7.92	$9.24	$32.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $21.00 / $80.83	Professional		$12.00	$21.00	$80.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $20.14 / $58.23	Facility		$12.00	$20.14	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $12.36 / $33.11	Professional		$7.20	$12.36	$33.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $24.44 / $37.61	Facility		$14.70	$24.44	$37.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $24.44 / $33.26	Professional		$14.41	$24.44	$33.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $10.07 / $29.06	Professional		$7.20	$10.07	$29.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $12.00 / $12.00	Professional		$9.48	$12.00	$12.00