Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.92 / $31.49 / $91.06	Facility		$16.92	$31.49	$91.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $8.91 / $23.59	Professional		$7.64	$8.91	$23.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $20.25 / $75.78	Professional		$11.57	$20.25	$75.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $19.39 / $55.77	Facility		$11.57	$19.39	$55.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $11.92 / $31.93	Professional		$6.94	$11.92	$31.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $23.58 / $36.27	Facility		$14.18	$23.58	$36.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $23.58 / $33.14	Professional		$13.90	$23.58	$33.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $9.69 / $28.01	Professional		$6.94	$9.69	$28.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $11.57 / $11.57	Professional		$9.14	$11.57	$11.57