Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $18.32 / $62.81	Facility		$8.36	$18.32	$62.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $5.97 / $9.84	Professional		$5.12	$5.97	$9.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $14.36 / $17.95	Professional		$9.09	$14.36	$17.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $11.48 / $106.09	Professional		$7.75	$11.48	$106.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.00 / $95.52	Facility		$8.32	$13.00	$95.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $7.75 / $19.82	Professional		$3.95	$7.75	$19.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $13.01 / $22.18	Facility		$9.50	$13.01	$22.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $15.79 / $20.23	Professional		$9.30	$15.79	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.65 / $15.93	Professional		$4.07	$4.65	$15.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $7.75 / $7.75	Professional		$6.12	$7.75	$7.75