Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $43.42 / $126.00	Facility		$17.32	$43.42	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $12.37 / $43.42	Professional		$10.61	$12.37	$43.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $29.38 / $36.72	Professional		$18.59	$29.38	$36.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $28.12 / $88.41	Professional		$16.07	$28.12	$88.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $26.93 / $77.61	Facility		$16.07	$26.93	$77.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $16.55 / $43.23	Professional		$9.64	$16.55	$43.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $32.74 / $50.38	Facility		$19.68	$32.74	$50.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $32.74 / $46.03	Professional		$19.29	$32.74	$46.03
United Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Facility		$16.07	$16.07	$16.07
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $13.46 / $40.64	Professional		$9.64	$13.46	$40.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $16.07 / $16.07	Professional		$12.70	$16.07	$16.07