Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $18.60 / $61.98	Facility		$8.48	$18.60	$61.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $6.06 / $21.27	Professional		$5.19	$6.06	$21.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $14.36 / $17.95	Professional		$9.09	$14.36	$17.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $13.77 / $56.74	Professional		$7.87	$13.77	$56.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $13.21 / $37.59	Facility		$7.87	$13.21	$37.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $8.11 / $21.72	Professional		$4.72	$8.11	$21.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.65 / $16.04 / $24.67	Facility		$9.65	$16.04	$24.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $16.04 / $22.58	Professional		$9.44	$16.04	$22.58
United Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Facility		$7.87	$7.87	$7.87
United Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $6.61 / $18.10	Professional		$4.72	$6.61	$18.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $7.87 / $7.87	Professional		$6.22	$7.87	$7.87