Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $23.44 / $97.72	Facility		$11.22	$23.44	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $63.10	Professional		$7.08	$12.02	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $25.12	Professional		$15.14	$19.95	$25.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $18.62 / $70.79	Professional		$10.47	$18.62	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $13.80 / $45.71	Facility		$10.47	$13.80	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.72 / $23.99	Professional		$6.31	$10.72	$23.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.59 / $12.59	Professional		$11.75	$12.59	$12.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $23.44	Facility		$10.47	$10.47	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.46 / $22.91	Professional		$6.31	$6.46	$22.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $10.47	Professional		$8.32	$10.47	$10.47