Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $30.09 / $50.96	Facility		$13.72	$30.09	$50.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $9.80 / $12.22	Professional		$8.40	$9.80	$12.22
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 $12.73 / $22.28 / $31.64	Professional		$12.73	$22.28	$31.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $20.11 / $63.49	Facility		$12.73	$20.11	$63.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $12.73 / $33.26	Professional		$7.64	$12.73	$33.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $24.43 / $39.90	Facility		$14.69	$24.43	$39.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.43 / $34.52	Professional		$15.28	$24.43	$34.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $7.64 / $29.28	Professional		$7.64	$7.64	$29.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $12.73 / $12.73	Professional		$10.06	$12.73	$12.73