Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $32.36 / $158.49	Facility		$11.48	$32.36	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.14 / $75.86	Professional		$7.94	$15.14	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $27.54	Professional		$14.13	$21.88	$27.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.18 / $112.20	Professional		$11.48	$28.18	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $18.20 / $42.66	Facility		$11.48	$18.20	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.80 / $30.20	Professional		$6.92	$13.80	$30.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.14 / $204.17	Professional		$13.80	$15.14	$204.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $25.70	Facility		$11.48	$11.48	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.77 / $28.18	Professional		$6.92	$9.77	$28.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $11.48	Professional		$9.12	$11.48	$11.48