Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $30.79 / $49.77	Facility		$14.04	$30.79	$49.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $10.02 / $83.78	Professional		$8.60	$10.02	$83.78
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 $13.03 / $22.80 / $35.36	Professional		$13.03	$22.80	$35.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $21.84 / $63.09	Facility		$13.03	$21.84	$63.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $13.03 / $35.47	Professional		$7.82	$13.03	$35.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $26.53 / $40.85	Facility		$15.64	$26.53	$40.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $26.05 / $35.47	Professional		$15.64	$26.05	$35.47
United Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $8.68 / $31.54	Professional		$7.82	$8.68	$31.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $13.03 / $13.03	Professional		$10.29	$13.03	$13.03