Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.58 / $25.39 / $45.65	Facility		$11.58	$25.39	$45.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $8.27 / $29.03	Professional		$7.09	$8.27	$29.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $19.57 / $24.48	Professional		$12.39	$19.57	$24.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $18.80 / $59.21	Professional		$10.74	$18.80	$59.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $18.01 / $52.13	Facility		$10.74	$18.01	$52.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $11.06 / $29.64	Professional		$6.44	$11.06	$29.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $21.88 / $33.67	Facility		$13.16	$21.88	$33.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $21.88 / $29.93	Professional		$12.89	$21.88	$29.93
United Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $10.74 / $24.70	Facility		$10.74	$10.74	$24.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $6.44 / $24.70	Professional		$6.44	$6.44	$24.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $10.74 / $10.74	Professional		$8.48	$10.74	$10.74