Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $38.02 / $117.49	Facility		$12.30	$38.02	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $75.86	Professional		$10.96	$15.85	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $38.90	Professional		$23.44	$30.90	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.84 / $48.98	Professional		$16.22	$28.84	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.89 / $42.66	Facility		$16.22	$20.89	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.22 / $35.48	Professional		$9.55	$16.22	$35.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $19.50	Professional		$14.79	$19.50	$19.50
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 $16.22 / $16.22 / $35.48	Facility		$16.22	$16.22	$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 / $16.22 / $16.22	Professional		$12.59	$16.22	$16.22