Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.90 / $44.67	Facility		$12.02	$30.90	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $32.36	Professional		$10.00	$12.88	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $38.90	Professional		$19.50	$30.90	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.84 / $91.20	Professional		$16.22	$28.84	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $43.65	Facility		$16.22	$19.95	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.22 / $35.48	Professional		$9.55	$16.22	$35.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $20.89	Professional		$14.79	$19.50	$20.89
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 $16.22 / $16.22 / $35.48	Facility		$16.22	$16.22	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.00 / $35.48	Professional		$9.55	$10.00	$35.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $16.22	Professional		$12.59	$16.22	$16.22