Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $30.49 / $52.50	Facility		$14.84	$30.49	$52.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.93 / $73.87	Professional		$8.51	$9.93	$73.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $22.58 / $98.51	Professional		$12.90	$22.58	$98.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $21.64 / $61.86	Facility		$12.90	$21.64	$61.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $13.02 / $35.47	Professional		$7.74	$13.02	$35.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $26.28 / $40.44	Facility		$15.50	$26.28	$40.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $25.81 / $35.47	Professional		$15.48	$25.81	$35.47
United Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $12.90 / $12.90	Facility		$12.90	$12.90	$12.90
United Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $10.82 / $31.26	Professional		$7.74	$10.82	$31.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $12.90 / $12.90	Professional		$10.19	$12.90	$12.90