Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $29.51 / $45.71	Facility		$12.02	$29.51	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $24.55	Professional		$10.00	$12.88	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $29.51 / $37.15	Professional		$18.62	$29.51	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.18 / $74.13	Professional		$15.49	$28.18	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.95 / $43.65	Facility		$15.49	$19.95	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.49 / $34.67	Professional		$9.33	$15.49	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $19.95	Professional		$14.79	$18.62	$19.95
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 $15.49 / $15.49 / $34.67	Facility		$15.49	$15.49	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.00 / $33.88	Professional		$9.33	$10.00	$33.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $15.49	Professional		$12.30	$15.49	$15.49