Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $49.47 / $146.16	Facility		$18.03	$49.47	$146.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.49 / $75.77	Professional		$8.13	$9.49	$75.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $22.20 / $27.74	Professional		$14.04	$22.20	$27.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $21.56 / $66.61	Professional		$12.32	$21.56	$66.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $21.01 / $59.47	Facility		$12.32	$21.01	$59.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $12.69 / $33.26	Professional		$7.39	$12.69	$33.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $25.10 / $38.61	Facility		$15.09	$25.10	$38.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $25.10 / $35.29	Professional		$14.80	$25.10	$35.29
United Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Facility		$12.32	$12.32	$12.32
United Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $8.21 / $29.84	Professional		$7.39	$8.21	$29.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $12.32 / $12.32	Professional		$9.73	$12.32	$12.32