Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $29.96 / $53.93	Facility		$13.66	$29.96	$53.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $9.76 / $16.80	Professional		$8.36	$9.76	$16.80
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 $12.68 / $22.19 / $74.51	Professional		$12.68	$22.19	$74.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $21.29 / $61.86	Facility		$12.68	$21.29	$61.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $13.06 / $34.36	Professional		$7.61	$13.06	$34.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $25.85 / $39.75	Facility		$15.23	$25.85	$39.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $25.36 / $34.36	Professional		$15.22	$25.36	$34.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $10.64 / $30.72	Professional		$7.61	$10.64	$30.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.68 / $12.68	Professional		$10.02	$12.68	$12.68