Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $26.92 / $75.86	Facility		$9.12	$26.92	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $165.96	Professional		$7.94	$10.23	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $28.18	Professional		$14.79	$22.91	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.89 / $128.82	Professional		$12.02	$20.89	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.49 / $36.31	Facility		$12.02	$15.49	$36.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.18 / $31.62	Professional		$7.24	$13.18	$31.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.79 / $15.49	Professional		$14.45	$14.79	$15.49
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 $12.02 / $12.02 / $26.30	Facility		$12.02	$12.02	$26.30
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 / $12.02 / $12.02	Professional		$9.55	$12.02	$12.02