Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $19.50 / $29.51	Facility		$7.08	$19.50	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $16.22	Professional		$6.03	$8.71	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.50 / $24.55	Professional		$12.59	$19.50	$24.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.98 / $67.61	Professional		$10.23	$16.98	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $13.18 / $26.92	Facility		$10.23	$13.18	$26.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $11.22 / $25.70	Professional		$5.37	$11.22	$25.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.59 / $13.18	Professional		$12.30	$12.59	$13.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $22.39	Facility		$10.23	$10.23	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.17 / $23.44	Professional		$5.37	$6.17	$23.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $10.23	Professional		$7.94	$10.23	$10.23