Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $39.94 / $61.14	Facility		$18.21	$39.94	$61.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $13.01 / $45.67	Professional		$11.15	$13.01	$45.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $25.34 / $951.07	Professional		$16.89	$25.34	$951.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $21.96 / $68.98	Facility		$16.89	$21.96	$68.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $16.89 / $41.45	Professional		$10.13	$16.89	$41.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $30.96 / $41.23	Facility		$17.62	$30.96	$41.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $30.96 / $43.07	Professional		$20.27	$30.96	$43.07
United Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $25.34 / $25.34	Facility		$25.34	$25.34	$25.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $11.87 / $40.21	Professional		$10.13	$11.87	$40.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $16.89 / $16.89	Professional		$13.34	$16.89	$16.89