Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $44.67	Facility		$12.02	$30.20	$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 $19.05 / $30.20 / $38.02	Professional		$19.05	$30.20	$38.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $29.51 / $46.77	Professional		$15.85	$29.51	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.95 / $42.66	Facility		$15.85	$19.95	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.85 / $34.67	Professional		$9.55	$15.85	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $20.42	Professional		$14.79	$19.05	$20.42
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 $15.85 / $15.85 / $35.48	Facility		$15.85	$15.85	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.00 / $34.67	Professional		$9.55	$10.00	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $15.85	Professional		$12.59	$15.85	$15.85