Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $32.36 / $61.66	Facility		$14.45	$32.36	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $95.50	Professional		$8.91	$12.88	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $35.48	Professional		$17.78	$28.18	$35.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $35.48 / $117.49	Professional		$14.45	$35.48	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.05 / $45.71	Facility		$14.45	$19.05	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.38 / $39.81	Professional		$8.71	$17.38	$39.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.78 / $19.05	Professional		$17.38	$17.78	$19.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $32.36	Facility		$14.45	$14.45	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.30 / $35.48	Professional		$8.71	$12.30	$35.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $14.45	Professional		$11.48	$14.45	$14.45