Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $29.44 / $52.96	Facility		$13.43	$29.44	$52.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $9.59 / $33.65	Professional		$8.22	$9.59	$33.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $22.85 / $28.56	Professional		$14.46	$22.85	$28.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $21.81 / $173.56	Professional		$12.46	$21.81	$173.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $20.89 / $60.64	Facility		$12.46	$20.89	$60.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $12.83 / $34.36	Professional		$7.48	$12.83	$34.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $25.38 / $39.06	Facility		$15.26	$25.38	$39.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $25.38 / $35.72	Professional		$14.96	$25.38	$35.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $10.45 / $28.66	Professional		$7.48	$10.45	$28.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $12.46 / $12.46	Professional		$9.84	$12.46	$12.46