Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $27.16 / $109.36	Facility		$11.32	$27.16	$109.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $7.58 / $26.61	Professional		$6.49	$7.58	$26.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $17.63 / $22.03	Professional		$11.15	$17.63	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $17.22 / $66.61	Professional		$9.84	$17.22	$66.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.84 / $14.94 / $42.45	Facility		$9.84	$14.94	$42.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $12.45 / $25.49	Professional		$9.84	$12.45	$25.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $18.19 / $30.85	Facility		$10.93	$18.19	$30.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $18.19 / $25.68	Professional		$11.81	$18.19	$25.68
United Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $9.84 / $21.54	Professional		$9.84	$9.84	$21.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $9.84 / $9.84	Professional		$7.77	$9.84	$9.84