Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $19.05 / $50.12	Facility		$7.08	$19.05	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $60.26	Professional		$6.03	$7.08	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $21.38	Professional		$10.96	$17.38	$21.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.60 / $125.89	Professional		$10.00	$16.60	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $11.75 / $28.84	Facility		$9.12	$11.75	$28.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.96 / $23.99	Professional		$5.50	$10.96	$23.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $11.75	Professional		$10.96	$10.96	$11.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $19.95	Facility		$9.12	$9.12	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.41 / $21.38	Professional		$5.50	$7.41	$21.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.12 / $9.12	Professional		$7.24	$9.12	$9.12