Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.04 / $62.45	Facility		$0.02	$0.04	$62.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Professional		$0.04	$0.04	$0.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $36.56 / $45.70	Professional		$20.17	$36.56	$45.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $34.79 / $49.25	Professional		$20.97	$34.79	$49.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $39.90 / $77.81	Facility		$20.17	$39.90	$77.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $25.99 / $81.89	Professional		$12.32	$25.99	$81.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $48.29 / $81.89	Facility		$18.00	$48.29	$81.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.17 / $42.70 / $96.52	Professional		$20.17	$42.70	$96.52
United Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $43.31 / $43.31	Facility		$43.31	$43.31	$43.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $23.57 / $66.28	Professional		$12.49	$23.57	$66.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $22.30 / $22.30	Professional		$17.62	$22.30	$22.30