Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $31.19 / $47.58	Facility		$14.22	$31.19	$47.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.16 / $35.65	Professional		$8.71	$10.16	$35.65
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 $13.19 / $23.08 / $101.04	Professional		$13.19	$23.08	$101.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $22.12 / $63.09	Facility		$13.19	$22.12	$63.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $13.45 / $35.47	Professional		$7.91	$13.45	$35.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $26.86 / $41.35	Facility		$15.84	$26.86	$41.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $25.58 / $35.47	Professional		$15.83	$25.58	$35.47
United Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $11.06 / $33.36	Professional		$7.91	$11.06	$33.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $13.19 / $13.19	Professional		$10.42	$13.19	$13.19