Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $26.30 / $74.13	Facility		$13.18	$26.30	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $19.95	Professional		$7.94	$10.96	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.55 / $30.90	Professional		$16.22	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.05 / $190.55	Professional		$14.45	$19.05	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.98 / $34.67	Facility		$13.18	$16.98	$34.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $14.13 / $33.11	Professional		$5.62	$14.13	$33.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.22 / $16.98	Professional		$15.85	$16.22	$16.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $28.84	Facility		$13.18	$13.18	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.76 / $26.92	Professional		$5.50	$7.76	$26.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $13.18	Professional		$10.23	$13.18	$13.18