Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $22.31 / $78.00	Facility		$12.36	$22.31	$78.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $8.83 / $71.92	Professional		$7.57	$8.83	$71.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $20.89 / $26.11	Professional		$13.22	$20.89	$26.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $20.07 / $65.67	Professional		$11.47	$20.07	$65.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $19.23 / $55.77	Facility		$11.47	$19.23	$55.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $11.81 / $31.03	Professional		$6.88	$11.81	$31.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $23.38 / $35.96	Facility		$13.77	$23.38	$35.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $22.95 / $31.03	Professional		$13.76	$22.95	$31.03
United Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.47 / $26.38	Facility		$11.47	$11.47	$26.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $7.65 / $26.38	Professional		$6.88	$7.65	$26.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $11.47 / $11.47	Professional		$9.06	$11.47	$11.47