Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $40.89 / $105.00	Facility		$17.28	$40.89	$105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $11.57 / $24.04	Professional		$9.92	$11.57	$24.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $26.30 / $92.20	Professional		$15.03	$26.30	$92.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $25.20 / $72.78	Facility		$15.03	$25.20	$72.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.48 / $41.01	Professional		$9.02	$15.48	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $30.61 / $47.12	Facility		$18.41	$30.61	$47.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $30.61 / $43.07	Professional		$18.04	$30.61	$43.07
United Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $22.55	Facility		$22.55	$22.55	$22.55
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.60 / $38.01	Professional		$9.02	$12.60	$38.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.03 / $15.03	Professional		$11.87	$15.03	$15.03