Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $22.91 / $33.88	Facility		$8.91	$22.91	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $24.55	Professional		$7.94	$10.00	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $29.51	Professional		$14.79	$23.44	$29.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.88 / $46.77	Professional		$12.30	$21.88	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.85 / $38.02	Facility		$12.30	$15.85	$38.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $31.62	Professional		$7.24	$14.45	$31.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $15.85	Professional		$14.79	$14.79	$15.85
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 $12.30 / $12.30 / $26.92	Facility		$12.30	$12.30	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.00 / $28.84	Professional		$7.24	$10.00	$28.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $12.30	Professional		$9.55	$12.30	$12.30