Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $22.91 / $125.89	Facility		$7.08	$22.91	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $15.14	Professional		$6.03	$7.94	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.62 / $23.44	Professional		$11.48	$18.62	$23.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $22.91 / $46.77	Professional		$9.55	$22.91	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $12.59 / $30.20	Facility		$9.55	$12.59	$30.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.00 / $25.12	Professional		$5.75	$10.00	$25.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $12.59	Professional		$11.48	$11.48	$12.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $21.38	Facility		$9.55	$9.55	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.94 / $22.91	Professional		$5.75	$7.94	$22.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $9.55	Professional		$7.59	$9.55	$9.55