Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $24.18 / $102.93	Facility		$17.68	$24.18	$102.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $9.31 / $31.20	Professional		$7.98	$9.31	$31.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $18.14 / $74.51	Professional		$13.30	$18.14	$74.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $15.60 / $46.41	Facility		$12.09	$15.60	$46.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $27.81	Professional		$7.25	$7.25	$27.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $21.16 / $46.41	Facility		$14.52	$21.16	$46.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $21.16 / $26.49	Professional		$14.51	$21.16	$26.49
United Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $12.09 / $27.81	Facility		$12.09	$12.09	$27.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $26.36	Professional		$7.25	$7.25	$26.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.09 / $12.09	Professional		$9.55	$12.09	$12.09