Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.11 / $47.86	Facility		$12.88	$33.11	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $34.67	Professional		$10.96	$14.13	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $41.69	Professional		$20.89	$33.11	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $52.48	Professional		$17.38	$27.54	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.89 / $44.67	Facility		$15.85	$20.89	$44.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.22 / $38.02	Professional		$8.71	$16.22	$38.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $22.39	Professional		$12.88	$20.89	$22.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $38.02	Facility		$17.38	$17.38	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $31.62	Professional		$8.71	$10.47	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.38 / $17.38	Professional		$13.49	$17.38	$17.38