Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $28.31 / $50.96	Facility		$12.91	$28.31	$50.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $9.22 / $12.22	Professional		$7.91	$9.22	$12.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $14.38 / $15.47	Professional		$12.38	$14.38	$15.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $17.97 / $33.72	Professional		$11.98	$17.97	$33.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $17.01 / $31.15	Facility		$11.98	$17.01	$31.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $11.98 / $31.27	Professional		$7.19	$11.98	$31.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $17.01 / $31.15	Facility		$14.39	$17.01	$31.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $19.69 / $31.27	Professional		$14.39	$19.69	$31.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $10.13 / $27.55	Professional		$7.19	$10.13	$27.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $11.98 / $11.98	Professional		$9.46	$11.98	$11.98