Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $30.76 / $88.98	Facility		$14.03	$30.76	$88.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $10.02 / $18.38	Professional		$8.59	$10.02	$18.38
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 $13.01 / $22.77 / $125.04	Professional		$13.01	$22.77	$125.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $19.19 / $54.81	Facility		$13.01	$19.19	$54.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $13.40 / $33.00	Professional		$7.81	$13.40	$33.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $26.50 / $36.09	Facility		$15.93	$26.50	$36.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $26.50 / $35.47	Professional		$15.62	$26.50	$35.47
United Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $8.68 / $29.92	Professional		$7.81	$8.68	$29.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $13.01 / $13.01	Professional		$10.28	$13.01	$13.01