Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $19.05 / $77.62	Facility		$8.91	$19.05	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $75.86	Professional		$7.94	$10.00	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $27.54	Professional		$14.13	$21.88	$27.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.89 / $74.13	Professional		$11.48	$20.89	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.79 / $36.31	Facility		$11.48	$14.79	$36.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $12.88 / $30.20	Professional		$6.92	$12.88	$30.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.13 / $14.79	Professional		$13.80	$14.13	$14.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $25.12	Facility		$11.48	$11.48	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.55 / $26.30	Professional		$6.92	$9.55	$26.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $11.48	Professional		$9.12	$11.48	$11.48