Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $28.42 / $52.50	Facility		$13.71	$28.42	$52.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $10.56 / $47.00	Professional		$9.05	$10.56	$47.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.81 / $31.01	Professional		$15.69	$24.81	$31.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $23.36 / $65.98	Professional		$13.71	$23.36	$65.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $18.64 / $57.28	Facility		$13.71	$18.64	$57.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $14.12 / $35.00	Professional		$8.11	$14.12	$35.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $26.59 / $37.69	Facility		$16.47	$26.59	$37.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $25.13 / $35.78	Professional		$15.10	$25.13	$35.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.23 / $28.18	Professional		$8.23	$8.23	$28.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $13.71 / $13.71	Professional		$10.83	$13.71	$13.71