Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $19.50 / $28.18	Facility		$7.08	$19.50	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $70.79	Professional		$7.08	$8.91	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.95 / $25.12	Professional		$12.59	$19.95	$25.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $23.44 / $83.18	Professional		$10.23	$23.44	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $13.49 / $32.36	Facility		$10.23	$13.49	$32.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $12.30 / $26.92	Professional		$6.17	$12.30	$26.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.59 / $13.49	Professional		$12.30	$12.59	$13.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $22.91	Facility		$10.23	$10.23	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.13 / $25.12	Professional		$6.17	$8.13	$25.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $10.23	Professional		$8.13	$10.23	$10.23