Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $34.78 / $107.25	Facility		$13.87	$34.78	$107.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $9.91 / $34.78	Professional		$8.49	$9.91	$34.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $22.52 / $90.93	Professional		$12.87	$22.52	$90.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $21.58 / $61.86	Facility		$12.87	$21.58	$61.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $13.02 / $35.47	Professional		$7.72	$13.02	$35.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $26.22 / $40.35	Facility		$15.46	$26.22	$40.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $25.74 / $35.47	Professional		$15.44	$25.74	$35.47
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.79 / $31.17	Professional		$7.72	$10.79	$31.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $12.87 / $12.87	Professional		$10.17	$12.87	$12.87