Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $37.15 / $64.57	Facility		$12.02	$37.15	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $102.33	Professional		$10.96	$14.13	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $37.15	Professional		$19.05	$29.51	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.18 / $89.13	Professional		$15.49	$28.18	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $20.42 / $46.77	Facility		$15.49	$20.42	$46.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.38 / $38.90	Professional		$9.33	$17.38	$38.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.05 / $19.95	Professional		$18.62	$19.05	$19.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $34.67	Facility		$15.49	$15.49	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $36.31	Professional		$9.33	$10.96	$36.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $15.49	Professional		$12.30	$15.49	$15.49