Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $32.42 / $107.88	Facility		$15.78	$32.42	$107.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $10.56 / $88.22	Professional		$9.06	$10.56	$88.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.81 / $31.01	Professional		$15.69	$24.81	$31.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $24.01 / $162.79	Professional		$13.72	$24.01	$162.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $21.07 / $66.72	Facility		$13.72	$21.07	$66.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $14.13 / $37.86	Professional		$8.23	$14.13	$37.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $27.94 / $43.01	Facility		$16.79	$27.94	$43.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $27.94 / $39.29	Professional		$16.48	$27.94	$39.29
United Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $13.72 / $31.56	Facility		$13.72	$13.72	$31.56
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $9.14 / $31.56	Professional		$8.23	$9.14	$31.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $13.72 / $13.72	Professional		$10.84	$13.72	$13.72