Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $26.71 / $47.99	Facility		$12.18	$26.71	$47.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $8.69 / $30.54	Professional		$7.46	$8.69	$30.54
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 $11.30 / $19.78 / $55.51	Professional		$11.30	$19.78	$55.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $18.94 / $54.57	Facility		$11.30	$18.94	$54.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $11.30 / $31.03	Professional		$6.78	$11.30	$31.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $23.04 / $35.43	Facility		$13.83	$23.04	$35.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $23.04 / $31.03	Professional		$13.56	$23.04	$31.03
United Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $6.78 / $25.99	Professional		$6.78	$6.78	$25.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $11.30 / $11.30	Professional		$8.93	$11.30	$11.30