Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $26.30 / $38.02	Facility		$10.00	$26.30	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $25.70	Professional		$8.91	$12.02	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.30 / $32.36	Professional		$16.98	$26.30	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $23.99 / $158.49	Professional		$13.80	$23.99	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $17.78 / $38.90	Facility		$13.80	$17.78	$38.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.80 / $37.15	Professional		$8.32	$13.80	$37.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.98 / $17.78	Professional		$16.60	$16.98	$17.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $30.20	Facility		$13.80	$13.80	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.22 / $33.11	Professional		$8.32	$11.22	$33.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $13.80	Professional		$10.96	$13.80	$13.80