Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $20.89 / $169.82	Facility		$6.03	$20.89	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $58.88	Professional		$5.01	$7.08	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $21.38	Professional		$10.96	$17.38	$21.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.22 / $74.13	Professional		$8.91	$16.22	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $11.48 / $28.18	Facility		$8.91	$11.48	$28.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $10.00 / $23.44	Professional		$5.37	$10.00	$23.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.48 / $11.48	Professional		$10.96	$11.48	$11.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $19.95	Facility		$8.91	$8.91	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.41 / $20.42	Professional		$5.37	$7.41	$20.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $8.91	Professional		$7.08	$8.91	$8.91