Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $52.61 / $114.05	Facility		$20.61	$52.61	$114.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $10.41 / $55.00	Professional		$8.92	$10.41	$55.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $24.81 / $31.01	Professional		$15.69	$24.81	$31.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $23.66 / $98.51	Professional		$13.52	$23.66	$98.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $22.66 / $67.50	Facility		$13.52	$22.66	$67.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $13.93 / $36.57	Professional		$8.11	$13.93	$36.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $27.54 / $42.39	Facility		$16.23	$27.54	$42.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $24.78 / $36.57	Professional		$15.08	$24.78	$36.57
United Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $13.52 / $13.52	Facility		$13.52	$13.52	$13.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.03 / $32.74	Professional		$8.11	$11.03	$32.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $13.52 / $13.52	Professional		$10.68	$13.52	$13.52