Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $28.61 / $51.46	Facility		$13.05	$28.61	$51.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.32 / $15.92	Professional		$7.99	$9.32	$15.92
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 $12.11 / $21.19 / $78.30	Professional		$12.11	$21.19	$78.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $20.30 / $58.23	Facility		$12.11	$20.30	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $12.47 / $33.26	Professional		$7.27	$12.47	$33.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $24.66 / $37.96	Facility		$14.83	$24.66	$37.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $24.66 / $34.69	Professional		$14.55	$24.66	$34.69
United Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $7.43 / $27.85	Professional		$7.27	$7.43	$27.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $12.11 / $12.11	Professional		$9.57	$12.11	$12.11