Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $22.91 / $70.79	Facility		$9.77	$22.91	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.32 / $64.57	Professional		$6.03	$8.32	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.62 / $23.44	Professional		$12.02	$18.62	$23.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $23.99 / $75.86	Professional		$9.77	$23.99	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.14 / $46.77	Facility		$9.77	$15.14	$46.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $11.75 / $25.12	Professional		$5.89	$11.75	$25.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.02 / $12.59	Professional		$11.75	$12.02	$12.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $21.38	Facility		$9.77	$9.77	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.13 / $23.44	Professional		$5.89	$8.13	$23.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.77 / $9.77	Professional		$7.59	$9.77	$9.77