Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $34.67 / $50.12	Facility		$14.13	$34.67	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $36.31	Professional		$12.02	$15.14	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $42.66	Professional		$21.88	$34.67	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $64.57	Professional		$18.20	$32.36	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $46.77	Facility		$18.20	$21.88	$46.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $39.81	Professional		$10.96	$18.20	$39.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $23.44	Professional		$16.22	$21.88	$23.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $40.74	Facility		$18.20	$18.20	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $37.15	Professional		$10.96	$10.96	$37.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $18.20	Professional		$14.45	$18.20	$18.20