Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $8.14 / $8.14	Professional		$8.14	$8.14	$8.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $12.70 / $14.53	Professional		$11.63	$12.70	$14.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $16.64 / $25.68	Professional		$12.20	$16.64	$25.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $12.70 / $28.83	Facility		$7.09	$12.70	$28.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.50 / $15.25	Professional		$3.00	$4.50	$15.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $14.27 / $28.83	Facility		$7.09	$14.27	$28.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $8.28 / $14.27	Professional		$6.50	$8.28	$14.27
United Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $12.65	Professional		$3.00	$3.00	$12.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $11.09 / $11.09	Professional		$8.76	$11.09	$11.09