Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $35.06 / $147.51	Facility		$18.84	$35.06	$147.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $18.84 / $84.00	Professional		$9.92	$18.84	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $23.50 / $29.38	Professional		$14.87	$23.50	$29.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.54 / $62.67	Professional		$12.88	$22.54	$62.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $21.96 / $61.86	Facility		$12.88	$21.96	$61.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $13.27 / $33.61	Professional		$7.73	$13.27	$33.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $26.23 / $40.38	Facility		$15.47	$26.23	$40.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $25.58 / $35.47	Professional		$15.46	$25.58	$35.47
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $10.80 / $32.57	Professional		$7.73	$10.80	$32.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $12.88 / $12.88	Professional		$10.18	$12.88	$12.88