Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $41.09 / $96.60	Facility		$8.60	$41.09	$96.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $4.53 / $40.00	Professional		$3.88	$4.53	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.44 / $13.06	Professional		$6.61	$10.44	$13.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $10.29 / $35.77	Professional		$5.88	$10.29	$35.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $10.03 / $29.92	Facility		$5.88	$10.03	$29.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $6.06 / $16.23	Professional		$3.53	$6.06	$16.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $11.99 / $18.43	Facility		$7.21	$11.99	$18.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $11.77 / $16.63	Professional		$7.06	$11.77	$16.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $4.93 / $13.52	Professional		$3.53	$4.93	$13.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $5.88 / $5.88	Professional		$4.65	$5.88	$5.88