Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.76 / $27.66 / $90.13	Facility		$9.76	$27.66	$90.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $5.14 / $42.95	Professional		$4.41	$5.14	$42.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $12.40 / $15.50	Professional		$7.85	$12.40	$15.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $11.69 / $33.29	Professional		$6.68	$11.69	$33.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $11.20 / $32.74	Facility		$6.68	$11.20	$32.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $6.88 / $17.73	Professional		$4.01	$6.88	$17.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $13.61 / $20.94	Facility		$8.18	$13.61	$20.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.61 / $19.13	Professional		$8.02	$13.61	$19.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.60 / $16.18	Professional		$4.01	$5.60	$16.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $6.68 / $6.68	Professional		$5.28	$6.68	$6.68