Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $39.56 / $53.02	Facility		$18.12	$39.56	$53.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $12.94 / $45.42	Professional		$11.09	$12.94	$45.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $29.40 / $67.84	Professional		$16.80	$29.40	$67.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $21.68 / $60.64	Facility		$16.80	$21.68	$60.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $16.80 / $38.64	Professional		$10.08	$16.80	$38.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $32.00 / $46.06	Facility		$15.28	$32.00	$46.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $30.05 / $43.85	Professional		$19.62	$30.05	$43.85
United Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $16.80 / $38.64	Facility		$16.80	$16.80	$38.64
United Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.08 / $34.86	Professional		$10.08	$10.08	$34.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $16.80 / $16.80	Professional		$13.27	$16.80	$16.80