Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $52.00 / $115.60	Facility		$17.51	$52.00	$115.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $71.00	Professional		$9.22	$9.22	$71.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $20.97 / $69.45	Professional		$11.98	$20.97	$69.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $20.44 / $58.05	Facility		$11.98	$20.44	$58.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $11.98 / $33.06	Professional		$7.19	$11.98	$33.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $24.43 / $37.56	Facility		$14.69	$24.43	$37.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $24.43 / $34.52	Professional		$14.39	$24.43	$34.52
United Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $11.98 / $11.98	Facility		$11.98	$11.98	$11.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $27.55	Professional		$7.19	$7.19	$27.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $11.98 / $11.98	Professional		$9.46	$11.98	$11.98