Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $31.62 / $97.72	Facility		$12.30	$31.62	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $95.50	Professional		$8.91	$12.02	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.44 / $29.51	Professional		$15.14	$23.44	$29.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $30.20 / $89.13	Professional		$12.30	$30.20	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $16.22 / $45.71	Facility		$12.30	$16.22	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.79 / $32.36	Professional		$7.41	$14.79	$32.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.14 / $15.85	Professional		$14.79	$15.14	$15.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $27.54	Facility		$12.30	$12.30	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.23 / $30.20	Professional		$7.41	$10.23	$30.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.30 / $12.30	Professional		$9.77	$12.30	$12.30