Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $31.62 / $56.86	Facility		$14.42	$31.62	$56.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $10.30 / $36.15	Professional		$8.83	$10.30	$36.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $23.42 / $109.88	Professional		$13.38	$23.42	$109.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $22.43 / $64.27	Facility		$13.38	$22.43	$64.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.78 / $36.57	Professional		$8.02	$13.78	$36.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $27.23 / $41.95	Facility		$16.39	$27.23	$41.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $27.23 / $38.33	Professional		$16.07	$27.23	$38.33
United Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $11.21 / $32.39	Professional		$8.02	$11.21	$32.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $13.38 / $13.38	Professional		$10.57	$13.38	$13.38