Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $12.65 / $73.95	Professional		$10.17	$12.65	$73.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.00 / $24.93	Professional		$12.00	$15.00	$24.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $9.96 / $25.78	Professional		$8.30	$9.96	$25.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $13.80 / $24.47	Facility		$7.86	$13.80	$24.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $15.75 / $31.09	Professional		$8.36	$15.75	$31.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $16.82 / $25.89	Facility		$12.00	$16.82	$25.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $16.92 / $26.93	Professional		$12.00	$16.92	$26.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $15.75 / $24.42	Professional		$7.73	$15.75	$24.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $15.00 / $17.60	Professional		$11.85	$15.00	$17.60