Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $28.12 / $50.52	Facility		$12.82	$28.12	$50.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $9.16 / $32.15	Professional		$7.85	$9.16	$32.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $20.81 / $118.72	Professional		$11.89	$20.81	$118.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $19.94 / $56.98	Facility		$11.89	$19.94	$56.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $11.89 / $32.14	Professional		$7.13	$11.89	$32.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $24.22 / $37.28	Facility		$14.56	$24.22	$37.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $24.22 / $34.06	Professional		$14.27	$24.22	$34.06
United Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Facility		$11.89	$11.89	$11.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $9.97 / $28.80	Professional		$7.13	$9.97	$28.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $11.89 / $11.89	Professional		$9.39	$11.89	$11.89