Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $23.99 / $50.12	Facility		$8.91	$23.99	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $19.95	Professional		$7.94	$10.96	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.99 / $30.20	Professional		$15.49	$23.99	$30.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.91 / $85.11	Professional		$12.59	$22.91	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $16.60 / $39.81	Facility		$12.59	$16.60	$39.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.13 / $33.11	Professional		$7.59	$14.13	$33.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $16.22	Professional		$15.14	$15.49	$16.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $28.18	Facility		$12.59	$12.59	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $28.84	Professional		$7.59	$10.72	$28.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $12.59	Professional		$10.00	$12.59	$12.59