Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $48.98 / $89.13	Facility		$15.85	$48.98	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $23.44 / $89.13	Professional		$10.00	$23.44	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $31.62	Professional		$19.05	$25.70	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $22.91 / $64.57	Professional		$13.18	$22.91	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $21.88 / $70.79	Facility		$13.18	$21.88	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.18 / $34.67	Professional		$7.94	$13.18	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $16.22	Professional		$15.85	$15.85	$16.22
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 $13.18 / $13.18 / $29.51	Facility		$13.18	$13.18	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $30.20	Professional		$7.94	$11.22	$30.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $13.18	Professional		$10.47	$13.18	$13.18