Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.12 / $38.02	Facility		$10.00	$25.12	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $20.89	Professional		$7.94	$10.96	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.70 / $31.62	Professional		$16.22	$25.70	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.99 / $109.65	Professional		$13.18	$23.99	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.98 / $40.74	Facility		$13.18	$16.98	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.85 / $33.88	Professional		$7.94	$15.85	$33.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.22 / $16.98	Professional		$15.85	$16.22	$16.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $28.84	Facility		$13.18	$13.18	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $31.62	Professional		$7.94	$10.96	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $13.18	Professional		$10.47	$13.18	$13.18