Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $31.62 / $141.25	Facility		$10.96	$31.62	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $21.88	Professional		$7.08	$8.91	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $26.92	Professional		$13.18	$21.38	$26.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.95 / $33.11	Professional		$10.96	$19.95	$33.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.80 / $29.51	Facility		$10.96	$13.80	$29.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.96 / $24.55	Professional		$6.61	$10.96	$24.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $14.13	Professional		$10.47	$13.18	$14.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $24.55	Facility		$10.96	$10.96	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.76 / $23.99	Professional		$6.61	$6.76	$23.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $10.96	Professional		$8.71	$10.96	$10.96