Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $18.62 / $83.18	Facility		$0.03	$18.62	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $85.11 / $199.53	Professional		$25.12	$85.11	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $72.44	Professional		$36.31	$57.54	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $60.26	Professional		$29.51	$40.74	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $36.31 / $66.07	Facility		$18.62	$36.31	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $26.92 / $61.66	Professional		$10.00	$26.92	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $36.31 / $38.90	Professional		$14.79	$36.31	$38.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $66.07	Facility		$30.20	$30.20	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $51.29	Professional		$10.00	$18.20	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $30.20	Professional		$23.44	$30.20	$30.20