Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $46.77	Facility		$12.02	$30.20	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $31.62	Professional		$10.00	$13.49	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.20 / $38.02	Professional		$19.50	$30.20	$38.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $69.18	Professional		$15.85	$28.18	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.42 / $42.66	Facility		$15.85	$20.42	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.78 / $39.81	Professional		$9.55	$17.78	$39.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.50 / $20.42	Professional		$19.05	$19.50	$20.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $35.48	Facility		$15.85	$15.85	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.77 / $33.11	Professional		$9.55	$9.77	$33.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $15.85	Professional		$12.59	$15.85	$15.85