Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $25.24 / $45.37	Facility		$11.51	$25.24	$45.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $8.22 / $28.85	Professional		$7.04	$8.22	$28.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $19.57 / $24.48	Professional		$12.39	$19.57	$24.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $18.67 / $140.62	Professional		$10.67	$18.67	$140.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.67 / $17.89 / $50.95	Facility		$10.67	$17.89	$50.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $10.99 / $29.45	Professional		$6.40	$10.99	$29.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $21.74 / $33.45	Facility		$13.08	$21.74	$33.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $21.74 / $30.58	Professional		$12.81	$21.74	$30.58
United Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $8.94 / $25.85	Professional		$6.40	$8.94	$25.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $10.67 / $10.67	Professional		$8.43	$10.67	$10.67