Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $25.14 / $39.00	Facility		$11.47	$25.14	$39.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $8.19 / $28.75	Professional		$7.02	$8.19	$28.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $19.57 / $24.48	Professional		$12.39	$19.57	$24.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $18.62 / $71.98	Professional		$10.64	$18.62	$71.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $16.43 / $48.61	Facility		$10.64	$16.43	$48.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $10.96 / $27.77	Professional		$6.38	$10.96	$27.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $21.67 / $32.35	Facility		$13.02	$21.67	$32.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $21.67 / $29.93	Professional		$12.78	$21.67	$29.93
United Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $7.79 / $25.63	Professional		$6.38	$7.79	$25.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $10.64 / $10.64	Professional		$8.41	$10.64	$10.64