Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $27.07 / $85.92	Facility		$13.54	$27.07	$85.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $9.67 / $33.94	Professional		$8.28	$9.67	$33.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $22.85 / $28.56	Professional		$14.46	$22.85	$28.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $16.82 / $88.41	Professional		$12.56	$16.82	$88.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $16.32 / $34.36	Facility		$11.53	$16.32	$34.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $12.56 / $31.76	Professional		$5.59	$12.56	$31.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $21.07 / $33.71	Facility		$15.38	$21.07	$33.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $23.03 / $32.78	Professional		$15.07	$23.03	$32.78
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.54 / $17.79	Professional		$5.75	$7.54	$17.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $12.56 / $12.56	Professional		$9.92	$12.56	$12.56