Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $108.16 / $250.92	Facility		$17.39	$108.16	$250.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $14.10 / $62.61	Professional		$7.84	$14.10	$62.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $18.28 / $22.85	Professional		$11.56	$18.28	$22.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $17.82 / $77.00	Professional		$10.18	$17.82	$77.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $20.71 / $106.48	Facility		$12.22	$20.71	$106.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $10.18 / $25.75	Professional		$6.11	$10.18	$25.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $20.74 / $28.64	Facility		$12.47	$20.74	$28.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $20.52 / $27.72	Professional		$12.23	$20.52	$27.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $10.18 / $10.18	Facility		$10.18	$10.18	$10.18
United Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $6.79 / $23.41	Professional		$6.11	$6.79	$23.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $10.18 / $10.18	Professional		$8.03	$10.18	$10.18