Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.42 / $26.11 / $126.90	Facility		$10.42	$26.11	$126.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $7.44 / $26.11	Professional		$6.38	$7.44	$26.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $17.63 / $22.03	Professional		$11.15	$17.63	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $16.91 / $40.70	Professional		$9.66	$16.91	$40.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $15.82 / $49.99	Facility		$9.66	$15.82	$49.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $9.66 / $26.37	Professional		$5.80	$9.66	$26.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $19.23 / $30.28	Facility		$11.57	$19.23	$30.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $18.88 / $27.05	Professional		$10.49	$18.88	$27.05
United Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $14.49 / $14.49	Facility		$14.49	$14.49	$14.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $7.91 / $22.87	Professional		$5.80	$7.91	$22.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $9.66 / $9.66	Professional		$7.63	$9.66	$9.66