Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $34.67 / $50.12	Facility		$12.88	$34.67	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $20.89	Professional		$10.96	$14.13	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $42.66	Professional		$25.70	$34.67	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.44 / $93.33	Professional		$15.49	$23.44	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $47.86	Facility		$18.20	$21.88	$47.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $41.69	Professional		$10.96	$10.96	$41.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $39.81	Facility		$18.20	$18.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $39.81	Professional		$10.96	$10.96	$39.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $18.20	Professional		$14.45	$18.20	$18.20