Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $28.80 / $50.96	Facility		$13.13	$28.80	$50.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $9.38 / $32.92	Professional		$8.03	$9.38	$32.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $22.20 / $27.74	Professional		$14.04	$22.20	$27.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $21.32 / $41.68	Professional		$12.18	$21.32	$41.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $20.11 / $58.23	Facility		$12.18	$20.11	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $12.55 / $33.26	Professional		$7.31	$12.55	$33.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $24.43 / $38.18	Facility		$14.69	$24.43	$38.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $24.43 / $34.36	Professional		$14.63	$24.43	$34.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $10.06 / $30.80	Professional		$7.31	$10.06	$30.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $12.18 / $12.18	Professional		$9.61	$12.18	$12.18