Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $23.04 / $43.89	Facility		$12.77	$23.04	$43.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $9.11 / $32.01	Professional		$7.81	$9.11	$32.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.39 / $64.41	Professional		$11.48	$15.39	$64.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.28 / $32.14	Facility		$8.32	$15.28	$32.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $11.84 / $29.94	Professional		$4.07	$11.84	$29.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $16.20 / $25.95	Facility		$14.21	$16.20	$25.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $19.01 / $30.90	Professional		$14.21	$19.01	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $17.76 / $17.76	Facility		$17.76	$17.76	$17.76
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $7.10 / $24.33	Professional		$4.07	$7.10	$24.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $11.84 / $11.84	Professional		$9.35	$11.84	$11.84