Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $28.84 / $42.66	Facility		$10.96	$28.84	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $74.13	Professional		$10.96	$14.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $36.31	Professional		$21.88	$28.84	$36.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $52.48	Professional		$15.14	$26.92	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.62 / $38.90	Facility		$15.14	$18.62	$38.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $34.67	Professional		$9.12	$15.14	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.20 / $18.20	Professional		$14.79	$18.20	$18.20
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 $15.14 / $15.14 / $33.88	Facility		$15.14	$15.14	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.00 / $33.88	Professional		$9.12	$10.00	$33.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $15.14	Professional		$12.02	$15.14	$15.14