Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $21.77 / $59.92	Facility		$14.10	$21.77	$59.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $8.55 / $8.55	Professional		$7.33	$8.55	$8.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $4.69 / $12.91	Professional		$3.75	$4.69	$12.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $18.47 / $57.65	Professional		$1.49	$18.47	$57.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $6.98 / $24.57	Facility		$2.95	$6.98	$24.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $14.33 / $27.26	Professional		$5.48	$14.33	$27.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $6.98 / $24.57	Facility		$5.43	$6.98	$24.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $6.14 / $12.91	Professional		$4.00	$6.14	$12.91
United Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $16.48 / $27.26	Professional		$11.33	$16.48	$27.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $9.98 / $9.98	Professional		$7.88	$9.98	$9.98