Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $35.52 / $63.86	Facility		$16.20	$35.52	$63.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $11.57 / $40.61	Professional		$9.91	$11.57	$40.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $26.76 / $33.46	Professional		$16.93	$26.76	$33.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $26.29 / $61.67	Professional		$15.02	$26.29	$61.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $25.19 / $72.78	Facility		$15.02	$25.19	$72.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $15.47 / $41.01	Professional		$9.01	$15.47	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $30.60 / $47.09	Facility		$18.41	$30.60	$47.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $30.60 / $43.05	Professional		$18.03	$30.60	$43.05
United Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $15.02 / $34.54	Facility		$15.02	$15.02	$34.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $12.59 / $36.38	Professional		$9.01	$12.59	$36.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.02 / $15.02	Professional		$11.87	$15.02	$15.02