Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $14.25 / $15.54	Facility		$14.25	$14.25	$15.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $6.95 / $7.75	Professional		$6.15	$6.95	$7.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.78 / $17.80	Professional		$9.50	$9.78	$17.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $14.16 / $33.97	Professional		$7.99	$14.16	$33.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.47 / $14.73 / $38.83	Facility		$9.47	$14.73	$38.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $14.38 / $107.00	Professional		$7.99	$14.38	$107.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $14.38 / $20.00	Facility		$10.31	$14.38	$20.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $16.29 / $23.02	Professional		$10.39	$16.29	$23.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $8.23 / $19.38	Professional		$7.99	$8.23	$19.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $7.99 / $7.99	Professional		$7.99	$7.99	$7.99