Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $27.73 / $37.15	Facility		$13.65	$27.73	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $9.75 / $34.22	Professional		$8.36	$9.75	$34.22
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 $12.66 / $21.39 / $32.72	Professional		$12.66	$21.39	$32.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $16.48 / $46.29	Facility		$12.66	$16.48	$46.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $12.66 / $29.93	Professional		$7.43	$12.66	$29.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $23.21 / $29.93	Facility		$13.53	$23.21	$29.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $22.79 / $29.93	Professional		$15.19	$22.79	$29.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $7.60 / $32.02	Professional		$7.60	$7.60	$32.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.66 / $12.66	Professional		$10.00	$12.66	$12.66