Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.12 / $38.90	Facility		$10.00	$25.12	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $19.95	Professional		$7.94	$10.96	$19.95
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 / $23.44 / $58.88	Professional		$14.45	$23.44	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.98 / $36.31	Facility		$13.18	$16.98	$36.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.18 / $36.31	Professional		$7.94	$13.18	$36.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.98 / $16.98	Professional		$16.22	$16.98	$16.98
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 / $10.96 / $32.36	Professional		$7.94	$10.96	$32.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $13.18	Professional		$10.47	$13.18	$13.18