Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $27.54 / $95.50	Facility		$12.30	$27.54	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.00 / $30.90	Professional		$7.76	$10.00	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $27.54	Professional		$14.13	$21.88	$27.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.89 / $87.10	Professional		$11.48	$20.89	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.14 / $36.31	Facility		$11.48	$15.14	$36.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.80 / $30.20	Professional		$6.92	$13.80	$30.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.13 / $14.79	Professional		$13.80	$14.13	$14.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $25.70	Facility		$11.48	$11.48	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.55 / $28.18	Professional		$6.92	$9.55	$28.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $11.48	Professional		$9.12	$11.48	$11.48