Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $45.71	Facility		$12.02	$30.20	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $24.55	Professional		$10.00	$12.88	$24.55
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 / $38.90 / $120.23	Professional		$15.85	$38.90	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.42 / $48.98	Facility		$15.85	$20.42	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $19.05 / $40.74	Professional		$9.33	$19.05	$40.74
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 / $34.67	Facility		$15.85	$15.85	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $38.02	Professional		$9.33	$13.18	$38.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.85 / $15.85	Professional		$12.30	$15.85	$15.85