Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $89.13 / $331.13	Facility		$12.02	$89.13	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $45.71 / $154.88	Professional		$8.91	$45.71	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $28.18	Professional		$14.79	$22.91	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.88 / $77.62	Professional		$12.02	$21.88	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $63.10	Facility		$12.02	$19.95	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $31.62	Professional		$7.24	$14.45	$31.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $15.49	Professional		$14.45	$14.79	$15.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $26.30	Facility		$12.02	$12.02	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.00 / $28.84	Professional		$7.24	$10.00	$28.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $12.02	Professional		$9.55	$12.02	$12.02