Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $33.97 / $157.74	Facility		$18.01	$33.97	$157.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $15.90 / $79.15	Professional		$9.48	$15.90	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $22.20 / $27.74	Professional		$14.04	$22.20	$27.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $21.54 / $125.82	Professional		$12.31	$21.54	$125.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $18.53 / $58.23	Facility		$12.31	$18.53	$58.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $16.84 / $33.26	Professional		$12.31	$16.84	$33.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $24.55 / $38.59	Facility		$14.76	$24.55	$38.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $24.55 / $34.52	Professional		$14.77	$24.55	$34.52
United Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $12.31 / $28.31	Facility		$12.31	$12.31	$28.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $12.31 / $26.95	Professional		$12.31	$12.31	$26.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $12.31 / $12.31	Professional		$9.72	$12.31	$12.31