Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $35.79 / $54.21	Facility		$14.28	$35.79	$54.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $10.19 / $15.60	Professional		$8.75	$10.19	$15.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $23.19 / $106.08	Professional		$13.25	$23.19	$106.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $21.75 / $64.27	Facility		$13.25	$21.75	$64.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $13.65 / $35.63	Professional		$7.95	$13.65	$35.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $27.00 / $41.54	Facility		$16.23	$27.00	$41.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $26.50 / $36.57	Professional		$15.90	$26.50	$36.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $8.13 / $30.48	Professional		$7.95	$8.13	$30.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.25 / $13.25	Professional		$10.47	$13.25	$13.25