Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.70 / $37.15	Facility		$10.00	$25.70	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $26.92	Professional		$7.94	$10.96	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.70 / $31.62	Professional		$16.22	$25.70	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $29.51 / $69.18	Professional		$13.49	$29.51	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $17.38 / $35.48	Facility		$13.49	$17.38	$35.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.79 / $33.88	Professional		$8.13	$14.79	$33.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.22 / $17.38	Professional		$14.79	$16.22	$17.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $29.51	Facility		$13.49	$13.49	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $30.90	Professional		$8.13	$10.00	$30.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $13.49	Professional		$10.72	$13.49	$13.49