Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $33.11 / $66.07	Facility		$9.55	$33.11	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $63.10	Professional		$7.94	$10.96	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.44 / $29.51	Professional		$15.14	$23.44	$29.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $93.33	Professional		$12.30	$17.78	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.85 / $32.36	Facility		$12.30	$15.85	$32.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $13.80 / $31.62	Professional		$5.13	$13.80	$31.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.14 / $15.85	Professional		$14.79	$15.14	$15.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $27.54	Facility		$12.30	$12.30	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.41 / $25.70	Professional		$5.01	$7.41	$25.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.30 / $12.30	Professional		$9.77	$12.30	$12.30