Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $24.55 / $60.26	Facility		$13.18	$24.55	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $87.10	Professional		$8.91	$12.02	$87.10
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 $13.18 / $23.44 / $117.49	Professional		$13.18	$23.44	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.98 / $63.10	Facility		$13.18	$16.98	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.18 / $35.48	Professional		$7.94	$13.18	$35.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.22 / $16.98	Professional		$15.85	$16.22	$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