Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $18.26 / $23.50	Professional		$13.90	$18.26	$23.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $18.05 / $20.07	Professional		$16.05	$18.05	$20.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $53.59 / $71.61	Professional		$31.83	$53.59	$71.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $26.93 / $36.90	Facility		$6.61	$26.93	$36.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $22.90 / $35.15	Professional		$14.19	$22.90	$35.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $25.16 / $39.63	Facility		$18.05	$25.16	$39.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $25.16 / $36.90	Professional		$15.09	$25.16	$36.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $19.57 / $33.56	Professional		$13.57	$19.57	$33.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $19.20 / $19.20	Professional		$19.20	$19.20	$19.20