Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $34.11 / $73.23	Facility		$15.55	$34.11	$73.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.11 / $39.00	Professional		$9.52	$11.11	$39.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $25.25 / $53.04	Professional		$14.43	$25.25	$53.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $20.11 / $58.23	Facility		$14.43	$20.11	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $14.43 / $34.52	Professional		$8.66	$14.43	$34.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $26.47 / $43.59	Facility		$14.69	$26.47	$43.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $26.47 / $37.65	Professional		$17.32	$26.47	$37.65
United Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $10.06 / $33.19	Professional		$8.66	$10.06	$33.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $14.43 / $14.43	Professional		$11.40	$14.43	$14.43