Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $28.84 / $43.65	Facility		$10.96	$28.84	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $30.20	Professional		$10.00	$12.88	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.84 / $36.31	Professional		$18.62	$28.84	$36.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $27.54 / $117.49	Professional		$15.14	$27.54	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.95 / $47.86	Facility		$15.14	$19.95	$47.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $18.20 / $39.81	Professional		$9.12	$18.20	$39.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $19.50	Professional		$18.20	$18.62	$19.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $33.88	Facility		$15.14	$15.14	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $37.15	Professional		$9.12	$12.88	$37.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $15.14	Professional		$12.02	$15.14	$15.14