Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $33.88 / $112.20	Facility		$14.45	$33.88	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.05 / $95.50	Professional		$10.00	$19.05	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $34.67	Professional		$17.78	$27.54	$34.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.30 / $112.20	Professional		$14.45	$26.30	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $18.62 / $44.67	Facility		$14.45	$18.62	$44.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.38 / $37.15	Professional		$8.71	$17.38	$37.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.78 / $18.62	Professional		$17.38	$17.78	$18.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $31.62	Facility		$14.45	$14.45	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $34.67	Professional		$8.71	$12.02	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $14.45	Professional		$11.48	$14.45	$14.45