Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $23.99 / $93.33	Facility		$8.13	$23.99	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.33 / $45.71	Professional		$6.03	$9.33	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $19.95	Professional		$11.75	$15.85	$19.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $19.95 / $44.67	Professional		$8.13	$19.95	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.59 / $39.81	Facility		$8.13	$12.59	$39.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $9.77 / $21.38	Professional		$4.90	$9.77	$21.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $18.20	Facility		$8.13	$8.13	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.92 / $19.95	Professional		$4.90	$6.92	$19.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $8.13	Professional		$6.46	$8.13	$8.13