Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $33.46 / $90.07	Facility		$15.26	$33.46	$90.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $10.90 / $38.26	Professional		$9.35	$10.90	$38.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $21.24 / $56.83	Professional		$14.16	$21.24	$56.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $17.27 / $45.99	Facility		$14.16	$17.27	$45.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $14.00 / $32.57	Professional		$7.38	$14.00	$32.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $24.00 / $31.04	Facility		$12.74	$24.00	$31.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $23.00 / $31.04	Professional		$13.02	$23.00	$31.04
United Facility/Professional Facility Modifier Low / Median / High Price $21.24 / $21.24 / $21.24	Facility		$21.24	$21.24	$21.24
United Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $8.50 / $26.20	Professional		$7.61	$8.50	$26.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $14.16 / $14.16	Professional		$11.19	$14.16	$14.16