Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.90 / $46.77	Facility		$12.02	$30.90	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $107.15	Professional		$10.00	$14.13	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $38.90	Professional		$19.95	$30.90	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $29.51 / $112.20	Professional		$17.78	$29.51	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.89 / $50.12	Facility		$16.22	$20.89	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.50 / $41.69	Professional		$9.77	$19.50	$41.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.95 / $20.89	Professional		$19.50	$19.95	$20.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $35.48	Facility		$16.22	$16.22	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.18 / $38.90	Professional		$9.77	$13.18	$38.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $16.22	Professional		$12.88	$16.22	$16.22