Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $28.84 / $43.65	Facility		$10.96	$28.84	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $30.20	Professional		$8.91	$12.88	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $35.48	Professional		$18.62	$28.18	$35.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $36.31 / $70.79	Professional		$15.14	$36.31	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.50 / $46.77	Facility		$15.14	$19.50	$46.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $18.20 / $38.90	Professional		$8.91	$18.20	$38.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $19.50	Professional		$18.20	$18.62	$19.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $33.11	Facility		$15.14	$15.14	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $36.31	Professional		$8.91	$12.59	$36.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $15.14	Professional		$11.75	$15.14	$15.14