Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $34.08 / $61.23	Facility		$15.54	$34.08	$61.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $11.10 / $38.96	Professional		$9.51	$11.10	$38.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $25.22 / $90.93	Professional		$14.41	$25.22	$90.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $24.17 / $69.13	Facility		$14.41	$24.17	$69.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $14.84 / $38.79	Professional		$8.65	$14.84	$38.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $29.36 / $45.18	Facility		$17.64	$29.36	$45.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $29.36 / $41.29	Professional		$17.30	$29.36	$41.29
United Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $14.41 / $33.14	Facility		$14.41	$14.41	$33.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $11.77 / $33.14	Professional		$8.65	$11.77	$33.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $14.41 / $14.41	Professional		$11.38	$14.41	$14.41