Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.70 / $38.90	Facility		$10.00	$25.70	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $26.92	Professional		$7.94	$10.96	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $32.36	Professional		$16.60	$26.30	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $33.11 / $87.10	Professional		$13.49	$33.11	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.38 / $41.69	Facility		$13.49	$17.38	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.22 / $35.48	Professional		$8.13	$16.22	$35.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.60 / $17.38	Professional		$16.22	$16.60	$17.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $29.51	Facility		$13.49	$13.49	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.22 / $32.36	Professional		$8.13	$11.22	$32.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $13.49	Professional		$10.72	$13.49	$13.49