Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $29.51 / $44.67	Facility		$10.96	$29.51	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $30.90	Professional		$10.00	$12.88	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $29.51 / $37.15	Professional		$18.62	$29.51	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $34.67 / $257.04	Professional		$15.49	$34.67	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.95 / $48.98	Facility		$15.49	$19.95	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.38 / $38.90	Professional		$9.33	$17.38	$38.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $18.62 / $19.95	Professional		$17.38	$18.62	$19.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $33.88	Facility		$15.49	$15.49	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.75 / $35.48	Professional		$9.33	$11.75	$35.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $15.49	Professional		$12.30	$15.49	$15.49