Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $22.91 / $75.86	Facility		$12.02	$22.91	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $79.43	Professional		$7.08	$10.96	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $28.18	Professional		$16.98	$22.91	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $102.33	Professional		$13.18	$21.38	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $30.90	Facility		$12.02	$14.45	$30.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $26.30	Professional		$7.24	$7.24	$26.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.49 / $47.86	Professional		$14.45	$15.49	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $26.92	Facility		$12.02	$12.02	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $26.30	Professional		$7.24	$7.24	$26.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $12.02	Professional		$9.55	$12.02	$12.02