Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $29.16 / $45.10	Facility		$12.02	$29.16	$45.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $12.58 / $44.16	Professional		$10.78	$12.58	$44.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $20.43 / $46.87	Professional		$6.99	$20.43	$46.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.52 / $21.24 / $144.54	Facility		$5.52	$21.24	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $13.00 / $35.82	Professional		$2.48	$13.00	$35.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $21.24 / $35.82	Facility		$11.65	$21.24	$35.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $21.47 / $35.82	Professional		$14.38	$21.47	$35.82
United Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $16.34 / $16.34	Facility		$16.34	$16.34	$16.34
United Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $9.80 / $19.61	Professional		$2.48	$9.80	$19.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $16.34 / $16.34	Professional		$12.91	$16.34	$16.34