Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $29.93 / $50.96	Facility		$13.65	$29.93	$50.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $9.75 / $34.22	Professional		$8.36	$9.75	$34.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $22.85 / $28.56	Professional		$14.46	$22.85	$28.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $22.16 / $35.36	Professional		$12.66	$22.16	$35.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $20.11 / $58.23	Facility		$12.66	$20.11	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $13.04 / $33.26	Professional		$7.60	$13.04	$33.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $24.43 / $39.69	Facility		$14.69	$24.43	$39.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $24.43 / $34.36	Professional		$15.19	$24.43	$34.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $10.06 / $29.12	Professional		$7.60	$10.06	$29.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.66 / $12.66	Professional		$10.00	$12.66	$12.66