Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $30.90 / $107.15	Facility		$10.00	$30.90	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $85.11	Professional		$8.91	$10.96	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $30.90	Professional		$15.85	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.44 / $141.25	Professional		$12.88	$23.44	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.98 / $36.31	Facility		$12.88	$16.98	$36.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.49 / $33.11	Professional		$7.76	$15.49	$33.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.85 / $16.60	Professional		$15.49	$15.85	$16.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $28.84	Facility		$12.88	$12.88	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.71 / $30.20	Professional		$7.76	$8.71	$30.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $12.88	Professional		$10.23	$12.88	$12.88