Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $31.62 / $204.17	Facility		$6.03	$31.62	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.30 / $57.54	Professional		$5.01	$12.30	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $17.38	Professional		$10.23	$13.80	$17.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.59 / $61.66	Professional		$7.08	$12.59	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $9.12 / $21.88	Facility		$7.08	$9.12	$21.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $8.32 / $18.20	Professional		$4.17	$8.32	$18.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Facility		$8.51	$8.51	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $15.49	Facility		$7.08	$7.08	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.89 / $16.98	Professional		$4.17	$5.89	$16.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.08 / $7.08	Professional		$5.50	$7.08	$7.08