Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $28.31 / $76.08	Facility		$12.91	$28.31	$76.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $9.22 / $77.03	Professional		$7.91	$9.22	$77.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $17.97 / $107.35	Professional		$11.98	$17.97	$107.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $20.44 / $56.55	Facility		$11.98	$20.44	$56.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $11.98 / $33.06	Professional		$7.19	$11.98	$33.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $24.43 / $36.09	Facility		$14.69	$24.43	$36.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $24.43 / $34.52	Professional		$14.39	$24.43	$34.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.06 / $29.04	Professional		$7.19	$10.06	$29.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $11.98 / $11.98	Professional		$9.46	$11.98	$11.98