Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.12 / $36.31	Facility		$10.00	$25.12	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $26.30	Professional		$7.94	$10.96	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $30.90	Professional		$17.38	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.38 / $85.11	Professional		$11.48	$17.38	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $16.22 / $36.31	Facility		$12.30	$16.22	$36.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $13.18 / $34.67	Professional		$4.07	$13.18	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.98 / $17.38	Professional		$15.85	$16.98	$17.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
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 $3.98 / $7.76 / $19.95	Professional		$3.98	$7.76	$19.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $13.18	Professional		$10.23	$13.18	$13.18