Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $30.98 / $96.66	Facility		$18.57	$30.98	$96.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $10.92 / $38.33	Professional		$9.36	$10.92	$38.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $24.82 / $77.70	Professional		$14.18	$24.82	$77.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $24.17 / $67.92	Facility		$14.18	$24.17	$67.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.18 / $37.01	Professional		$8.51	$14.18	$37.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $28.88 / $44.45	Facility		$17.03	$28.88	$44.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $28.35 / $38.79	Professional		$13.66	$28.35	$38.79
United Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $14.18 / $14.18	Facility		$14.18	$14.18	$14.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.89 / $34.34	Professional		$8.51	$11.89	$34.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $14.18 / $14.18	Professional		$11.20	$14.18	$14.18