Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $17.41 / $29.73	Facility		$7.94	$17.41	$29.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.67 / $19.89	Professional		$4.86	$5.67	$19.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $13.71 / $17.14	Professional		$8.67	$13.71	$17.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $12.90 / $45.64	Professional		$7.37	$12.90	$45.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $11.92 / $35.21	Facility		$7.37	$11.92	$35.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $7.59 / $19.53	Professional		$4.42	$7.59	$19.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $15.03 / $23.10	Facility		$9.02	$15.03	$23.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $15.03 / $21.05	Professional		$8.85	$15.03	$21.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $5.86 / $17.85	Professional		$4.42	$5.86	$17.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $7.37 / $7.37	Professional		$5.82	$7.37	$7.37