Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $35.48 / $52.48	Facility		$10.96	$35.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $28.84	Professional		$10.96	$12.88	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.84 / $36.31	Professional		$18.62	$28.84	$36.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $37.15 / $89.13	Professional		$15.14	$37.15	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.50 / $46.77	Facility		$15.14	$19.50	$46.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $38.90	Professional		$15.14	$20.89	$38.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $19.50	Professional		$18.20	$18.62	$19.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $33.11	Facility		$15.14	$15.14	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $34.67	Professional		$13.18	$15.14	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $15.14	Professional		$12.02	$15.14	$15.14