Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $72.44 / $186.21	Facility		$8.32	$72.44	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.96 / $74.13	Professional		$6.03	$10.96	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.85 / $19.95	Professional		$10.23	$15.85	$19.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.79 / $50.12	Professional		$8.32	$14.79	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.96 / $30.90	Facility		$8.32	$10.96	$30.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.71 / $21.38	Professional		$5.01	$8.71	$21.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.23 / $10.96	Professional		$10.00	$10.23	$10.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $18.62	Facility		$8.32	$8.32	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.01 / $19.50	Professional		$4.90	$5.01	$19.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $8.32	Professional		$6.61	$8.32	$8.32