Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $27.52 / $193.20	Facility		$11.71	$27.52	$193.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $7.84 / $242.88	Professional		$6.72	$7.84	$242.88
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 / $47.88	Professional		$10.18	$17.82	$47.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $15.59 / $42.92	Facility		$10.18	$15.59	$42.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $10.49 / $26.00	Professional		$6.11	$10.49	$26.00
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 $15.27 / $15.27 / $15.27	Facility		$15.27	$15.27	$15.27
United Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $6.11 / $22.65	Professional		$6.11	$6.11	$22.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $10.18 / $10.18	Professional		$8.03	$10.18	$10.18