Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.88 / $371.54	Facility		$12.88	$33.88	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $85.11	Professional		$7.94	$10.96	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $30.90	Professional		$15.85	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $177.83	Professional		$14.13	$18.20	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.85 / $33.88	Facility		$12.88	$15.85	$33.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $14.45 / $32.36	Professional		$5.13	$14.45	$32.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.85 / $16.60	Professional		$15.49	$15.85	$16.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $28.18	Facility		$12.88	$12.88	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.76 / $26.30	Professional		$5.01	$7.76	$26.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $12.88	Professional		$10.23	$12.88	$12.88