Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $25.36 / $43.87	Facility		$11.56	$25.36	$43.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.26 / $18.38	Professional		$7.08	$8.26	$18.38
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 $10.73 / $18.78 / $138.15	Professional		$10.73	$18.78	$138.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $16.67 / $49.71	Facility		$10.73	$16.67	$49.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $11.05 / $28.81	Professional		$6.44	$11.05	$28.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $21.04 / $33.64	Facility		$12.65	$21.04	$33.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.04 / $29.59	Professional		$12.88	$21.04	$29.59
United Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $10.73 / $24.68	Facility		$10.73	$10.73	$24.68
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $8.33 / $24.68	Professional		$6.44	$8.33	$24.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $10.73 / $10.73	Professional		$8.48	$10.73	$10.73