Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.70 / $38.90	Facility		$10.00	$25.70	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $21.38	Professional		$7.94	$10.96	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $32.36	Professional		$16.60	$26.30	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.55 / $61.66	Professional		$13.49	$24.55	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.78 / $42.66	Facility		$13.49	$17.78	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.14 / $35.48	Professional		$8.13	$15.14	$35.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.60 / $17.38	Professional		$16.22	$16.60	$17.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $30.20	Facility		$13.49	$13.49	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $30.90	Professional		$8.13	$11.48	$30.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $13.49	Professional		$10.72	$13.49	$13.49