Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.91 / $95.50	Facility		$13.18	$22.91	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $85.11	Professional		$8.91	$12.02	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.70 / $31.62	Professional		$16.22	$25.70	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $87.10	Professional		$14.45	$23.99	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $17.38 / $41.69	Facility		$13.18	$17.38	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.85 / $34.67	Professional		$7.94	$15.85	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.98 / $70.79	Professional		$16.22	$16.98	$70.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $29.51	Facility		$13.18	$13.18	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $32.36	Professional		$7.94	$11.22	$32.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $13.18	Professional		$10.47	$13.18	$13.18