Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $23.57 / $49.28	Facility		$12.12	$23.57	$49.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $9.33 / $32.75	Professional		$8.00	$9.33	$32.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.15 / $32.83	Professional		$8.71	$15.15	$32.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.79 / $15.63 / $33.26	Facility		$6.79	$15.63	$33.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $12.12 / $30.65	Professional		$3.10	$12.12	$30.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $16.97 / $26.56	Facility		$14.54	$16.97	$26.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $18.54 / $31.63	Professional		$13.47	$18.54	$31.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $7.27 / $24.92	Professional		$3.31	$7.27	$24.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $12.12 / $12.12	Professional		$9.57	$12.12	$12.12