Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $29.59 / $53.24	Facility		$13.50	$29.59	$53.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $9.64 / $33.84	Professional		$8.26	$9.64	$33.84
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 $12.52 / $21.91 / $81.41	Professional		$12.52	$21.91	$81.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $21.01 / $60.64	Facility		$12.52	$21.01	$60.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $12.90 / $34.36	Professional		$7.51	$12.90	$34.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $25.52 / $39.25	Facility		$15.35	$25.52	$39.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $25.52 / $34.36	Professional		$15.03	$25.52	$34.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $10.23 / $31.66	Professional		$7.51	$10.23	$31.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $12.52 / $12.52	Professional		$9.89	$12.52	$12.52