Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $33.11 / $95.50	Facility		$13.18	$33.11	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.95 / $91.20	Professional		$8.91	$19.95	$91.20
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 $13.18 / $31.62 / $114.82	Professional		$13.18	$31.62	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $18.62 / $40.74	Facility		$13.18	$18.62	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.45 / $33.88	Professional		$7.76	$14.45	$33.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $16.98	Professional		$15.85	$15.85	$16.98
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 $13.18 / $13.18 / $28.84	Facility		$13.18	$13.18	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $30.20	Professional		$7.76	$10.96	$30.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $13.18	Professional		$10.23	$13.18	$13.18