Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $25.75 / $103.21	Facility		$13.24	$25.75	$103.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $10.19 / $85.13	Professional		$8.74	$10.19	$85.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $23.17 / $58.42	Professional		$13.24	$23.17	$58.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $22.57 / $64.27	Facility		$13.24	$22.57	$64.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.24 / $34.56	Professional		$7.94	$13.24	$34.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $26.98 / $41.51	Facility		$15.90	$26.98	$41.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $26.48 / $36.57	Professional		$15.89	$26.48	$36.57
United Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $19.86 / $19.86	Facility		$19.86	$19.86	$19.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.11 / $32.07	Professional		$7.94	$11.11	$32.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $13.24 / $13.24	Professional		$10.46	$13.24	$13.24