Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $30.90 / $123.03	Facility		$10.47	$30.90	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $186.21	Professional		$10.00	$12.02	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.30 / $32.36	Professional		$16.98	$26.30	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $33.88 / $169.82	Professional		$13.80	$33.88	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $17.78 / $42.66	Facility		$13.80	$17.78	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.60 / $38.02	Professional		$8.32	$16.60	$38.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.98 / $17.78	Professional		$16.60	$16.98	$17.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $30.20	Facility		$13.80	$13.80	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.22 / $33.11	Professional		$8.32	$11.22	$33.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $13.80	Professional		$10.96	$13.80	$13.80